Individual
MR. C HENRY BALDERRAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LICSW
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5263
Mailing address
1102 SW 348TH PL, FEDERAL WAY, WA 98023-7029
(206) 579-5382
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005964
WA
Other
Enumeration date
01/13/2015
Last updated
09/10/2015
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