Individual
LARA MUNDEN-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5301 TIETON DR, STE C, YAKIMA, WA 98908-3479
(509) 662-6761
(509) 663-3182
Mailing address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
(509) 663-3182
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60332606
WA
Other
Enumeration date
11/04/2014
Last updated
03/30/2017
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