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Individual

JOY ELIZABETH WATERHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 SIMPSON AVE, ABERDEEN, WA 98520-4335
(360) 612-0012
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 353-9369

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
SC60947988
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100878
WA
Enumeration date
01/10/2018
Last updated
04/04/2022
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