Pauline Fatyga Wray, LICSW
NPI #1952931529 in Bothell, Washington
Provider Information
- NPI Number
- 1952931529
- Entity Type
- Individual
- Name
- Pauline Fatyga Wray, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LICSW
- Enumeration Date
- Jan 22, 2020
- Last Updated
- Feb 24, 2020
Practice Location
- Address
- 3305 191ST ST SE
- City
- Bothell
- State
- Washington
- ZIP Code
- 98012-7969
- Phone
- (312) 933-8414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Social Worker |
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