KIM EVANGELINE FUNDERBURK

WALLA WALLA, WA
NPI1346360658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW60020675)
Enumeration Date2007-03-30
Last Update Date2014-06-02
Business Address
-- KIM EVANGELINE FUNDERBURK MSW
401 W MAIN ST STE B
WALLA WALLA, WA 99362-2837
Phone number: 509-240-2644
Mailing Address
-- KIM EVANGELINE FUNDERBURK MSW
PO BOX 2644
WALLA WALLA, WA 99362-0333
Phone number: 509-240-2644
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