Individual
MARIA-ELENA MENDOZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
104100000X
Social Worker
LW61525346
WA
1041C0700X
Clinical Social Worker
Primary
LW61525346
WA
171M00000X
Case Manager/Care Coordinator
SC61174968
WA
Other
Enumeration date
11/06/2017
Last updated
12/02/2024
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