Individual
MARYLYNN ANTUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
14 E CASINO RD, BUILDING D, EVERETT, WA 98208-2628
(425) 374-4279
Mailing address
1622 N 202ND PL, SHORELINE, WA 98133-3335
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005698
WA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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