Most Relevant Information
Provider Data
| NPI Number: | 1003326646 |
| Provider Name: | KATHRYN AMANDA LIDGARD LSWAIC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SC60970292 |
Most Important Dates
| Enumeration Date: | 10/10/2017 |
| Last Updated: | 08/05/2019 |
Provider Practice Location
2100 24TH AVE S STE 260
SEATTLE
WA
981444644
Practice Location Phone/Fax
| Phone: | 2067156051 |
| Fax: |
Provider Mailing Location
2100 24TH AVE S STE 260
SEATTLE
WA
981444644
Provider Mailing Phone/Fax
| Phone: | 2067156051 |
| Fax: |