N/a | |
4411 Point Fosdick Dr Ste 307 Gig Harbor WA 98335-1703 | |
(253) 851-3808 | |
(253) 851-3188 |
Full Name | N/a |
---|---|
Speciality | Social Worker - Clinical |
Location | 4411 Point Fosdick Dr Ste 307, Gig Harbor, Washington |
Authorized Official Name and Position | Leticia Marie Holleman (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4259031119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
N/a 14951 Nw Seaview Dr Seabeck WA 98380-9755 Ph: (425) 903-1119 | N/a 4411 Point Fosdick Dr Ste 307 Gig Harbor WA 98335-1703 Ph: (253) 851-3808 |
NPI Number | 1548022254 |
---|---|
Provider Enumeration Date | 01/29/2024 |
Last Update Date | 02/26/2024 |
Certification Date | 02/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548022254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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