Individual
MELODY M SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1313 BROADWAY STE 200, TACOMA, WA 98402-3400
(253) 301-6400
Mailing address
1313 BROADWAY STE 200, TACOMA, WA 98402-3400
(253) 301-6400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60760526
WA
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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