| NPI | 1205044856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK D. WILLIAMSON Clinical Social Worker 253-232-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00003658) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |