Individual
MERIHA LD MANTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
30 W MAIN ST STE 205, WALLA WALLA, WA 99362-2872
(206) 300-9436
Mailing address
30 W MAIN ST STE 205, WALLA WALLA, WA 99362-2872
(206) 300-9436
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60031221
WA
Other
Enumeration date
08/22/2010
Last updated
10/31/2018
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