Provider Demographics
NPI:1891898193
Name:SLOAN, ALICIA PAULINE (MPH, MSW)
Entity Type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:PAULINE
Last Name:SLOAN
Suffix:
Gender:F
Credentials:MPH, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1552 NW 52ND ST
Mailing Address - Street 2:APT 5
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3828
Mailing Address - Country:US
Mailing Address - Phone:206-277-3593
Mailing Address - Fax:
Practice Address - Street 1:1660 S. COLUMBIAN WAY
Practice Address - Street 2:RCS-117, VA PUGET SOUND HEALTH CARE SYSTEM
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108
Practice Address - Country:US
Practice Address - Phone:206-277-3593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA600411611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical