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General NPI Number Information
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NPI Number | 1871071027
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Entity Type | Organization
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Legal Business Name | DEANNA SEATHER-BRADY, LICSW, PLLC
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Dates
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Enumeration Date | 07/31/2018
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 1818 WESTLAKE AVE N STE 201
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City | SEATTLE
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State | WA
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Zip | 98109-2707
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Country | US
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Telephone | 206-853-0250
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Fax | 866-241-0405
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Provider Business Mailing Address
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Address Line | 1818 WESTLAKE AVE N STE 201
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City | SEATTLE
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State | WA
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Zip | 98109-2707
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Country | US
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Telephone | 206-853-0250
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Fax | 866-241-0405
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | DEANNA LYNN SEATHER-BRADY
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Credential | LICSW
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Telephone | 206-853-0250
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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 | LW60636344
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License Number State | WA
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