Individual
SERINA OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4232 6TH AVE SE STE 101, LACEY, WA 98503-1081
(206) 484-2216
Mailing address
4232 6TH AVE SE STE 101, LACEY, WA 98503-1081
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
109493
TX
1041C0700X
Clinical Social Worker
SC61544875
WA
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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