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Individual

KARA BETH WESEBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7501
(509) 725-7504
Mailing address
10 NICHOLLS ST, DAVENPORT, WA 99122-9729
(509) 725-7501
(509) 725-7504

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
1041C0700X
Clinical Social Worker
173466
AK
1041C0700X
Clinical Social Worker
Primary
LW60455646
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1020986
AK
Enumeration date
06/14/2018
Last updated
02/25/2026
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