IVAN BARRAZA

RICHLAND, WA
NPI1790116614
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: WA  LW60365018)
Enumeration Date2013-12-03
Last Update Date2013-12-03
Business Address
IVAN BARRAZA LICSW
921 ALLENWHITE DR
RICHLAND, WA 99352-8620
Phone number: 509-845-1263
Mailing Address
IVAN BARRAZA LICSW
PO BOX 614
RICHLAND, WA 99352-0614
Phone number: