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824 W Lewis St Ste 110 Pasco WA 99301-5561 | |
| (509) 308-4389 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 824 W Lewis St Ste 110, Pasco, Washington |
| Authorized Official Name and Position | Kyndra Nicole Scott (OWNER) |
| Authorized Official Contact | 5093084389 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
824 W Lewis St Ste 110 Pasco WA 99301-5561 Ph: (509) 308-4389 | 824 W Lewis St Ste 110 Pasco WA 99301-5561 Ph: (509) 308-4389 |
| NPI Number | 1174165112 |
|---|---|
| Provider Enumeration Date | 10/10/2019 |
| Last Update Date | 01/21/2025 |
| Certification Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174165112 | NPI | - | NPPES |
| LW60988628 | Other | WA | LICSW |
| 2143764 | Medicaid | WA | |
| 8237-C | Other | NV | SOCIAL WORK |
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