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NPI Code Detail

MEDICARE: PATRICIA RAE PRINGLE

MEDICARE: PATRICIA RAE PRINGLE
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 CounselorLH00005443WA
21041C0700XClinical Social WorkerLW00005670WA

General Provider Information

NPI Number : 1609027564
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA RAE PRINGLE
Provider Business Mailing Address
First Line : 704 228TH AVE NE
Second Line : # 267
City : SAMMAMISH
State : WA
Zip : 98074-7222
Country : US
Telephone Number : 425-802-4664
Fax Number : 425-868-8928
Provider Business Practice Location Address
First Line : 704 228TH AVE NE
Second Line : # 267
City : SAMMAMISH
State : WA
Zip : 98074-7222
Country : US
Telephone Number : 425-802-4664
Fax Number : 425-868-8928
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 10/08/2008

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Directions to “ PATRICIA RAE PRINGLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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