Female

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)

Code

1041C0700X

Primary Taxonomy

Yes

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

Provider Address

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