Ryan David Kocourek, MSW
Social Worker, Clinical in Tukwila, WA. Individual provider (NPI-1).
NPI number1982134136
StatusActive
Last updated in NPPESSep 16, 2019
Details
- NPI
- 1982134136
- Entity type
- Individual (NPI-1)
- Name
- Ryan David Kocourek
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2017
- Last updated
- Sep 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 60843692 | WA | Yes |
Practice location
15455 65th Ave STukwila, WA 98188-2534
Phone 206-721-5170 · Fax 360-353-9440
Mailing address
Po Box 2429Longview, WA 98632-8486
Phone 360-353-9494 · Fax 360-353-9440
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All 58 Clinical Social Worker providers in Tukwila · All 1,891 providers in Tukwila
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