Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1041C0700X | Clinical Social Worker | 080331-1 | NY |
Y | 1041C0700X | Clinical Social Worker | LW60585876 | WA |
NPI | 1003195819 |
---|---|
Provider Name | Jarim Lee |
First Address | Bellevue, WA 98006-1475 |
Second Address | Bellevue, WA 98006-1475 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2011 |
Last Update Date | 29/03/2021 |