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Organization
PEACE AT LAST THERAPY, LLC
Active
Organization
PEACE AT LAST THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE N L PAVLINOVIC LICSW (OWNER)
(206) 979-4005
Entity
Organization
Contact information
Practice address
677 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1000
(206) 979-4005
Mailing address
700 SLEATER KINNEY RD SE STE B, LACEY, WA 98503-1113
(206) 979-4005
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174050629
KAISER, REGENCE, TRICARE, PREMERA
WA
Enumeration date
08/10/2020
Last updated
07/28/2021
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