| NPI | 1659578714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN L FOLSOM Clinical Social Worker 360-339-5604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW00004315) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2022-07-21 |