Moultine, Kristin L
Moultine, Kristin L is an individual health care provider with primary practice located at 2901 Bridgeport Way W , University Place WA 98466-4614. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moultine, Kristin L can be contacted via phone (253) 534-7000.Contact Information
Primary practice address
2901 Bridgeport Way W
University Place WA 98466-4614
Phone: (253) 534-7000
Fax: (253) 534-7099
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60061570 | Washington |
Profile Details
| NPI number | 1821350299 |
|---|---|
| LBN Legal business name | Moultine, Kristin L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2012 |
| Last updated | Sep 13th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821350299 | NPPES |
| Washington | Other | 8952612 | CRIME VICTIMS |
| Washington | Other | 8952613 | CRIME VICTIMS |
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