Provider Demographics
NPI:1659069342
Name:LAYGO, ESTEFANIE
Entity Type:Individual
Prefix:
First Name:ESTEFANIE
Middle Name:
Last Name:LAYGO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ESTEFANIE
Other - Middle Name:BAJO
Other - Last Name:VINUAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2809 U ST SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-8204
Mailing Address - Country:US
Mailing Address - Phone:206-766-0903
Mailing Address - Fax:
Practice Address - Street 1:2809 U ST SE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-8204
Practice Address - Country:US
Practice Address - Phone:206-766-0903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-01
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC61400957104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker