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General NPI Number Information
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NPI Number | 1689188641
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Entity Type | Individual
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Provider Name | ETHEL G NELSON-KING LSWAIC
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Gender | Female
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 307 N OLYMPIC AVE STE 234
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City | ARLINGTON
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State | WA
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Zip | 98223-1322
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Country | US
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Telephone | 360-572-8655
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Fax |
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Provider Business Mailing Address
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Address Line | 16322 KENDONS WAY LN
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City | CYPRESS
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State | TX
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Zip | 77429-4897
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Country | US
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Telephone | 678-818-8633
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | SC6144705
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License Number State | WA
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