Individual
LISA HERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
412 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 469-2160
Mailing address
5309 ENGLEWOOD HILL DR, YAKIMA, WA 98908-2344
(509) 469-2160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60085960
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007742
—
WA
Enumeration date
05/21/2007
Last updated
04/27/2015
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