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Individual
SIERRA MISION
Active
Individual
SIERRA MISION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
60998126
WA
1041C0700X
Clinical Social Worker
Primary
61381819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026117
—
WA
Enumeration date
08/22/2019
Last updated
05/15/2023
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