Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | SC 60203446 | WA |
NPI | 1003115122 |
---|---|
Provider Name | Ann Marie Mccurdy |
First Address | Seattle, WA 98104-2499 |
Second Address | Seattle, WA 98104-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2011 |
Last Update Date | 16/03/2011 |