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Organization
OLIVELEAF
Active
Organization
OLIVELEAF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY J COUNTRYMAN LICSW (OWNER/LICSW)
(530) 255-4761
Entity
Organization
Contact information
Practice address
37 MAPLE ST 144, SOAP LAKE, WA 98851
(509) 361-4643
Mailing address
PO BOX 144, SOAP LAKE, WA 98851-0144
(509) 361-4643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/13/2026
Last updated
06/01/2026
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