NICOLE SOUTHARD

YAKIMA, WA
NPI1316036734
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW00006282)
Enumeration Date2006-10-12
Last Update Date2010-07-20
Business Address
-- NICOLE SOUTHARD MSW
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
Mailing Address
-- NICOLE SOUTHARD MSW
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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