Individual
SARA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
9726 52ND ST W APT B, TACOMA, WA 98467-1201
(915) 540-3695
Mailing address
9726 52ND ST W APT B, TACOMA, WA 98467-1201
(915) 540-3695
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61591051
WA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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