Most Relevant Information
Provider Data
| NPI Number: | 1003677238 |
| Provider Name: | KAILYN NYCOL HABERMAN MSW, LSWAIC |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SC61415382 |
Most Important Dates
| Enumeration Date: | 01/16/2024 |
| Last Updated: | 01/16/2024 |
Provider Practice Location
1621 SEATTLE HILL RD APT EE3
BOTHELL
WA
980124104
Practice Location Phone/Fax
| Phone: | 9207287089 |
| Fax: |
Provider Mailing Location
1621 SEATTLE HILL RD APT EE3
BOTHELL
WA
980124104
Provider Mailing Phone/Fax
| Phone: | 9207287089 |
| Fax: |