R. D. Suz Foretich, LICSW
Social Worker, Clinical in Seattle, WA. Individual provider (NPI-1).
NPI number1114390010
StatusActive
Last updated in NPPESJun 27, 2019
Details
- NPI
- 1114390010
- Entity type
- Individual (NPI-1)
- Name
- R. D. Suz Foretich
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2015
- Last updated
- Jun 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW60907426 | WA | Yes |
| 1041C0700X | Social Worker, Clinical | sc60584558 | WA |
Practice location
2366 Eastlake Ave E Ste 320Seattle, WA 98102-3399
Phone 206-790-1843
Mailing address
2366 Eastlake Ave E Ste 320Seattle, WA 98102-3399
Phone 206-790-1843
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