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NPI Code Detail

MEDICARE: MS. RONNIE E KAUFMAN LICSW

MEDICARE:  MS. RONNIE E KAUFMAN  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 WorkerLW00005089WA

General Provider Information

NPI Number : 1659351286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RONNIE E KAUFMAN LICSW
Provider Business Mailing Address
First Line : 16040 CHRISTENSEN RD
Second Line : STE 212
City : TUKWILA
State : WA
Zip : 98188-2966
Country : US
Telephone Number : 206-431-5336
Fax Number : 206-431-5430
Provider Business Practice Location Address
First Line : 16040 CHRISTENSEN RD
Second Line : STE 212
City : TUKWILA
State : WA
Zip : 98188-2966
Country : US
Telephone Number : 206-431-5336
Fax Number : 206-431-5430
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 07/08/2007

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Directions to “ MS. RONNIE E KAUFMAN LICSW” Practice Location

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