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NPI Code Detail

MEDICARE: MS. KAROLINA WRIGHT WILLIAMS LICSW, MDIV

MEDICARE:  MS. KAROLINA WRIGHT WILLIAMS  LICSW, MDIV
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker603 481 879WA

General Provider Information

NPI Number : 1326434697
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KAROLINA WRIGHT WILLIAMS LICSW, MDIV
Provider Business Mailing Address
First Line : 5100 S DAWSON ST STE 103
Second Line :
City : SEATTLE
State : WA
Zip : 98118-2100
Country : US
Telephone Number : 512-789-3709
Fax Number :
Provider Business Practice Location Address
First Line : 4819 S OREGON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1449
Country : US
Telephone Number : 512-789-3709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2015
Last Update Date : 04/13/2015

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Directions to “ MS. KAROLINA WRIGHT WILLIAMS LICSW, MDIV” Practice Location

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