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General NPI Number Information
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NPI Number | 1629392436
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Entity Type | Individual
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Provider Name | MICHELLE D GARNER PHD, LICSW, ACSW
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Gender | Female
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Dates
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Enumeration Date | 03/23/2010
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 7510 33RD AVE NE
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City | SEATTLE
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State | WA
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Zip | 98115-4706
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Country | US
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Telephone | 206-729-5299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51045
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City | SEATTLE
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State | WA
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Zip | 98115-1045
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Country | US
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Telephone | 206-729-5299
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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 | LW00005041
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License Number State | WA
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