Individual
NANCY CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15570 DIAZ PL SW, PORT ORCHARD, WA 98367-6703
(253) 514-3005
Mailing address
PO BOX 159, BURLEY, WA 98322-0159
(253) 514-3050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS16056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCS16056
LICENSED CLINICAL SW
CA
Enumeration date
06/16/2005
Last updated
02/06/2012
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