Individual
CELIA ELIZABETH VIVEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
21907 64TH AVE W STE 320, MOUNTLAKE TERRACE, WA 98043-2299
(360) 205-3795
Mailing address
21907 64TH AVE W STE 320, MOUNTLAKE TERRACE, WA 98043-2299
(509) 521-6876
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LC19465
ME
1041C0700X
Clinical Social Worker
Primary
LW60477830
WA
Other
Enumeration date
04/15/2019
Last updated
12/13/2024
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