Most Relevant Information
Provider Data
NPI Number: | 1003348988 |
Provider Name: | MOLLY GROGAN LSWAIC CDPT MHP |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | SC60488456 |
Most Important Dates
Enumeration Date: | 03/30/2017 |
Last Updated: | 03/30/2017 |
Provider Practice Location
2600 SW HOLDEN ST
SEATTLE
WA
981263505
Practice Location Phone/Fax
Phone: | 2069337000 |
Fax: |
Provider Mailing Location
2600 SW HOLDEN ST
SEATTLE
WA
981263505
Provider Mailing Phone/Fax
Phone: | 2069337000 |
Fax: |