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NPI Code Detail

MEDICARE: MS. LORIE LADEAN DWINELL MSW,ACSW,LICSW

MEDICARE:  MS. LORIE LADEAN DWINELL  MSW,ACSW,LICSW
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
11041C0700XClinical Social WorkerWALICSW020704LW00005WA
21041C0700XClinical Social WorkerI-2353NM

General Provider Information

NPI Number : 1326292681
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORIE LADEAN DWINELL MSW,ACSW,LICSW
Provider Business Mailing Address
First Line : 3838 29TH AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98199-1748
Country : US
Telephone Number : 206-281-1205
Fax Number : 206-282-3548
Provider Business Practice Location Address
First Line : 3838 29TH AVE W
Second Line :
City : SEATTLE
State : WA
Zip : 98199-1748
Country : US
Telephone Number : 206-281-1205
Fax Number : 206-282-3548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2008
Last Update Date : 11/12/2008

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Directions to “ MS. LORIE LADEAN DWINELL MSW,ACSW,LICSW” Practice Location

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