Loretta Juarez-wagner LICSW
Clinical Social Worker in Seattle, WA(View on Map)
Full Name
Loretta Juarez-wagner LICSW
NPI Number
1225373459
NPI Type
Individual Provider
Gender
Female
Enumeration Date
11/28/2012
Specialties
(Taxonomies)Licenses
State
Washington
Washington
License Number
LW9635
LW09635
Contact
Information
Purpose
Mailing
Location
Address
1550 N 115TH ST
1550 N 115TH ST
City
Seattle
Seattle
State
WA
WA
Postal Code
98133-8401
98133-8401
Country
US
US
Telephone Number
(206) 668-1995
(206) 668-1995
Identifiers
Identifier
LW09635
Identifier State
WA
Identifier Issuer
WA STATE LICENSING
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/27/2019