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Individual

MS. KEINA RITENBURGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
5210 NE 25TH PL, VANCOUVER, WA 98663-1970
(360) 773-4412
Mailing address
5210 NE 25TH PL, VANCOUVER, WA 98663-1970
(360) 773-4412

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60912068
WA

Other

Enumeration date
05/31/2020
Last updated
05/31/2020
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