MEDICARE: MS. KATHY ANN STRAND LICSW

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
1	1041C0700X	Clinical Social Worker	LW61027081	WA

General Provider Information

NPI Number	:	1326760752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHY ANN STRAND LICSW

Provider Business Mailing Address
First Line	:	6707 34TH PL S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-6453
Country	:	US
Telephone Number	:	206-280-3490
Fax Number	:

Provider Business Practice Location Address
First Line	:	6707 34TH PL S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-6453
Country	:	US
Telephone Number	:	206-280-3490
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	09/13/2022

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Directions to “ MS. KATHY ANN STRAND LICSW” Practice Location

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