| Berring Enterprises Llc | |
|
1470 Packwood Ave Dupont WA 98327-8801 | |
| (253) 988-5211 | |
| Not Available |
| Full Name | Berring Enterprises Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1470 Packwood Ave, Dupont, Washington |
| Authorized Official Name and Position | Tyvonne Berring (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2539885211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berring Enterprises Llc 1470 Packwood Ave Dupont WA 98327-8801 Ph: (253) 988-5211 | Berring Enterprises Llc 1470 Packwood Ave Dupont WA 98327-8801 Ph: (253) 988-5211 |
| NPI Number | 1619338910 |
|---|---|
| Provider Enumeration Date | 03/14/2016 |
| Last Update Date | 03/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619338910 | NPI | - | NPPES |
| LW60246847 | Other | WA | DOH LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW60246847 (Washington) | Primary |
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