Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LW60772409 | WA |
N | 225400000X | Rehabilitation Practitioner |
NPI | 1023319084 |
---|---|
Provider Name | Caitlin C Saunders |
First Address | Kent, WA 98042-3730 |
Second Address | Issaquah, WA 98027-5307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2010 |
Last Update Date | 28/03/2018 |