Individual
MRS. IRMA LUCERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1014 MAIN STREET, VANCOUVER, WA 98664-1408
(360) 566-4432
(360) 695-0628
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60185030
WA
Other
Enumeration date
11/01/2010
Last updated
04/14/2016
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