| |
315 Martin Luther King Jr Way Tacoma WA 98405-4234 | |
(253) 403-1126 | |
Not Available |
Full Name | |
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Speciality | Social Worker |
Location | 315 Martin Luther King Jr Way, Tacoma, Washington |
Authorized Official Name and Position | Vincent H Schmitz (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2534598000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 5299 Ms: 737-2-phys Tacoma WA 98415-0299 Ph: (253) 459-7970 | 315 Martin Luther King Jr Way Tacoma WA 98405-4234 Ph: (253) 403-1126 |
NPI Number | 1235180589 |
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Provider Enumeration Date | 05/12/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1235180589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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104100000X | Social Worker | (* (Not Available)) | Primary |
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