Individual
MRS. AMY MELISSA GEFOROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 756-2913
(253) 756-2681
Mailing address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 756-2913
(253) 756-2681
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60224607
WA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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