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General NPI Number Information
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NPI Number | 1790673432
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Entity Type | Organization
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Legal Business Name | MRF PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 2615 NE 62ND ST
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City | SEATTLE
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State | WA
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Zip | 98115-7122
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Country | US
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Telephone | 425-243-4603
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Fax |
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Provider Business Mailing Address
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Address Line | 17225 11TH AVE NE
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City | SHORELINE
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State | WA
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Zip | 98155-5111
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Country | US
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Telephone | 202-445-1297
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MADELEINE ROSE FERGUSON
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Credential | LISW
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Telephone | 202-445-1297
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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 |
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License Number State |
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