Provider Demographics
NPI:1558073379
Name:LITTLE, DEVON MARIE (MSW, LSWAIC)
Entity Type:Individual
Prefix:
First Name:DEVON
Middle Name:MARIE
Last Name:LITTLE
Suffix:
Gender:F
Credentials:MSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 28TH AVE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4161
Mailing Address - Country:US
Mailing Address - Phone:206-581-1087
Mailing Address - Fax:
Practice Address - Street 1:511 28TH AVE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4161
Practice Address - Country:US
Practice Address - Phone:206-581-1087
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical