Provider Demographics
NPI:1285126532
Name:CURTIS, KATHERINE DAYLE (MSW, LICSWA)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:DAYLE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MSW, LICSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 VUEMONT PL NE APT S203
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-4548
Mailing Address - Country:US
Mailing Address - Phone:231-649-7942
Mailing Address - Fax:
Practice Address - Street 1:300 VUEMONT PL NE APT S203
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-4548
Practice Address - Country:US
Practice Address - Phone:231-649-7942
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-02
Last Update Date:2018-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC608628541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical