Individual
SARAH SELF GAUTREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSWA
Contact information
Practice address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503
(360) 754-1338
Mailing address
2922 RUDDELL RD SE APT 29, LACEY, WA 98503-7810
(337) 315-1430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
08/07/2019
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