ELLEN MARIE STANDEFER

VANCOUVER, WA
NPI1679008163
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: WA  LW60748476)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: OR  L7044)
Enumeration Date2017-04-22
Last Update Date2017-09-13
Business Address
-- ELLEN MARIE STANDEFER LICSW, LCSW
2621 NE 134TH ST STE 340
VANCOUVER, WA 98686-3036
Phone number: 360-450-0140
Mailing Address
-- ELLEN MARIE STANDEFER LICSW, LCSW
2621 NE 134TH ST STE 340
VANCOUVER, WA 98686-3036
Phone number: 360-450-0140