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NPI Code Detail

MEDICARE: YUQIAN LI MSW, MHP

MEDICARE: YUQIAN LI MSW, MHP
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 Worker
21041C0700XClinical Social WorkerSC60908182WA

General Provider Information

NPI Number : 1689192114
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUQIAN LI MSW, MHP
Provider Business Mailing Address
First Line : 6400 SOUTHCENTER BLVD
Second Line :
City : TUKWILA
State : WA
Zip : 98188-2547
Country : US
Telephone Number : 206-901-2000
Fax Number : 206-901-2010
Provider Business Practice Location Address
First Line : 3722 S HUDSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98118-1920
Country : US
Telephone Number : 206-302-2200
Fax Number : 206-302-2210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2017
Last Update Date : 11/30/2018

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