Individual
RUTH MILDRED WOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP 60080400
Contact information
Practice address
3629 S D ST # MS 1119, TACOMA, WA 98418-6813
(253) 798-6563
(253) 798-2935
Mailing address
3629 S D ST # MS 1119, TACOMA, WA 98418-6813
(253) 798-6563
(253) 798-2935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60080400
WA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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