Individual
ARIELE E LE GRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-1648
(253) 968-2252
Mailing address
WENDY MCKINNEY 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC21700
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095132
STATE LICENSE
NY
01
—
149.026838
STATE LICENSE
IL
01
—
LC21700
STATE LICENSE
ME
01
—
LICSW126028
STATE LICENSE
MA
Enumeration date
03/02/2022
Last updated
04/23/2024
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