TIMOTHY CORVIDAE

TACOMA, WA
NPI1366377657
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  SWIA.SC.61638470)
Enumeration Date2026-06-17
Last Update Date2026-06-17
Business Address
TIMOTHY CORVIDAE SWIASC
2142B S M ST
TACOMA, WA 98405-3446
Phone number: 313-910-1478
Mailing Address
TIMOTHY CORVIDAE SWIASC
2142B S M ST
TACOMA, WA 98405-3446
Phone number: 313-910-1478