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NPI Code Detail

MEDICARE: COLLEEN CULLEY DEPREZ LICSW

MEDICARE: COLLEEN CULLEY DEPREZ 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
11041C0700XClinical Social WorkerI.2103039OH
21041C0700XClinical Social WorkerLW61276536WA
3104100000XSocial WorkerS.1903292OH

General Provider Information

NPI Number : 1720544422
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN CULLEY DEPREZ LICSW
Provider Business Mailing Address
First Line : 8801 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4809
Country : US
Telephone Number : 206-766-6976
Fax Number : 206-766-6993
Provider Business Practice Location Address
First Line : 8801 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4809
Country : US
Telephone Number : 206-766-6976
Fax Number : 206-766-6993
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2019
Last Update Date : 12/14/2023

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Directions to “ COLLEEN CULLEY DEPREZ LICSW” Practice Location

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