| Social 58 | |
|
1117 A St Tacoma WA 98402-5003 | |
| (253) 948-3495 | |
| Not Available |
| Full Name | Social 58 |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1117 A St, Tacoma, Washington |
| Authorized Official Name and Position | Steven M Brown (OWNER) |
| Authorized Official Contact | 2539483495 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Social 58 Po Box 683 Tacoma WA 98401-0683 Ph: () - | Social 58 1117 A St Tacoma WA 98402-5003 Ph: (253) 948-3495 |
| NPI Number | 1093432957 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Certification Date | 10/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093432957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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