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Organization

DEPARTMENT OF SOCIAL AND HEALTH SERVICES

Active
Other names
WA DSHS VDHS
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARCY M GOODMAN (PROGRAM MANAGER)
(360) 725-2446
Entity
Organization

Contact information

Practice address
4450 10TH AVE SE, LACEY, WA 98503-2842
(360) 725-2446
(360) 438-8633
Mailing address
PO BOX 45600, OLYMPIA, WA 98504-5600
(360) 725-2446
(360) 438-8633

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/12/2016
Last updated
02/12/2016
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