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1790116614
IVAN BARRAZA
RICHLAND, WA
NPI
1790116614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60365018)
Enumeration Date
2013-12-03
Last Update Date
2013-12-03
Business Address
-- IVAN BARRAZA LICSW
921 ALLENWHITE DR
RICHLAND, WA 99352-8620
Phone number: 509-845-1263
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Mailing Address
-- IVAN BARRAZA LICSW
PO BOX 614
RICHLAND, WA 99352-0614
Phone number:
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