| The Space Between Creative Grief Studio, Llc | |
|
1555 55th St Washougal WA 98671-6806 | |
| (360) 335-4805 | |
| Not Available |
| Full Name | The Space Between Creative Grief Studio, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1555 55th St, Washougal, Washington |
| Authorized Official Name and Position | Laura Calabrese (OWNER/CLINICIAN) |
| Authorized Official Contact | 3603354805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Space Between Creative Grief Studio, Llc 1555 55th St Washougal WA 98671-6806 Ph: (360) 335-4805 | The Space Between Creative Grief Studio, Llc 1555 55th St Washougal WA 98671-6806 Ph: (360) 335-4805 |
| NPI Number | 1245986843 |
|---|---|
| Provider Enumeration Date | 02/23/2022 |
| Last Update Date | 02/23/2022 |
| Certification Date | 02/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245986843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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