Search › Washington › 1041C0700X
Regina Blackwolf, MSW, LICSW
NPI 1184777252 · on the registry since 2007
Practice
- Address
- 12812 3rd Ave Se Ste A
Everett, WA 98208 - Phone
- (206) 375-7657
- Fax
- (206) 319-5325
- Organisation at this address
- Donald A. Koontz Dds Pllc
Approaching Authenticity, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington