Individual
DEWANN BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
1520 KELLEY PL FL 2, WALLA WALLA, WA 99362-8654
(509) 524-2920
Mailing address
1520 KELLEY PL FL 2, WALLA WALLA, WA 99362-8654
(509) 524-2920
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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