Individual
CHARITY MECHELINS MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9601 STEILACOOM BLVD SW, LAKEWOOD, WA 98498-7212
(253) 582-8900
Mailing address
1105 113TH ST S, TACOMA, WA 98444-4003
(253) 232-3519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
RC00052480
WA
1041C0700X
Clinical Social Worker
Primary
LW60934869
WA
Other
Enumeration date
11/29/2007
Last updated
10/03/2024
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