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1174032957
REBECCA LOGUE
SEATTLE, WA
NPI
1174032957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA 60887460)
Enumeration Date
2017-09-25
Last Update Date
2020-09-11
Business Address
REBECCA LOGUE LSWAIC
929 N 130TH ST # ST3
SEATTLE, WA 98133-7500
Phone number: 443-540-9405
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Mailing Address
REBECCA LOGUE LSWAIC
3008 23RD AVE S
SEATTLE, WA 98144-5918
Phone number: 443-540-9405
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