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NPI 1487056131

NPI 1487056131 : MARCI SWEET LICSW, MSW : WOODINVILLE, WA

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General NPI Number Information
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    NPI Number           |    1487056131
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    Entity Type          |    Individual 
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    Provider Name        |    MARCI SWEET LICSW, MSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/24/2014
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    Last Update Date     |    08/02/2019
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Provider Practice Location Address
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    Address Line         |    13149 NE 202ND CT 
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    City                 |    WOODINVILLE
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    State                |    WA
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    Zip                  |    98072-5739
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    Country              |    US
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    Telephone            |    509-703-3369
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2512 
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    City                 |    WOODINVILLE
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    State                |    WA
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    Zip                  |    98072-2512
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    Country              |    US
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    Telephone            |    509-703-3369
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    LW60907579
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    License Number State |    WA
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