CODY IVAN LINCOLN

TUMWATER, WA
NPI1851166011
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
Enumeration Date2023-11-17
Last Update Date2023-11-17
Business Address
CODY IVAN LINCOLN msw
3825 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-943-1907
Mailing Address
CODY IVAN LINCOLN msw
3825 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-943-1907