EBANYSANGEL

MOSES LAKE, WA
NPI1952125809
Entity TypeOrganization
Authorized ContactNICHOLE LYNN NOLAN
Clinical Social Worker
509-864-0860
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-11-07
Last Update Date2024-11-07
Business Address
EBANYSANGEL
726 PENN IVY ST
MOSES LAKE, WA 98837-2790
Phone number: 509-864-0860
Mailing Address
EBANYSANGEL
PO BOX 97
MOSES LAKE, WA 98837-0016
Phone number: 509-864-0860