Individual
LYLA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3876 BRIDGE WAY N, SUITE 200, SEATTLE, WA 98103-7951
(206) 707-9611
Mailing address
3876 BRIDGE WAY N, SUITE 200, SEATTLE, WA 98103-7951
(206) 707-9611
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60034699
WA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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