Individual
MRS. CARLA SUE CHASE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SOCIAL WORKER
Contact information
Practice address
40717 5TH AVENUE SOUTH, ROY, WA 98580-0000
(253) 968-4193
(253) 968-4249
Mailing address
40717 5TH AVE. S., ROY, WA 98580-0000
(253) 968-4193
(253) 968-4249
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006013
WA
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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