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NPI Code Detail

MEDICARE: ANNA JEAN ARNOLD-GRINDY LICSW, ED.S.

MEDICARE: ANNA JEAN ARNOLD-GRINDY LICSW, ED.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorMC60534509WA
21041C0700XClinical Social WorkerSC60534544WA
31041C0700XClinical Social WorkerLW60655960WA

General Provider Information

NPI Number : 1275913915
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA JEAN ARNOLD-GRINDY LICSW, ED.S.
Provider Business Mailing Address
First Line : 13806 228TH ST NE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-9838
Country : US
Telephone Number : 425-737-0223
Fax Number :
Provider Business Practice Location Address
First Line : 135 N OLYMPIC AVE
Second Line :
City : ARLINGTON
State : WA
Zip : 98223-1335
Country : US
Telephone Number : 360-474-6262
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2015
Last Update Date : 09/14/2016

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