Individual
LISA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 423-7740
(360) 423-7894
Mailing address
1057 12TH AVE, LONGVIEW, WA 98632-2509
(360) 423-7740
(360) 423-7894
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00040850
WA
104100000X
Social Worker
Primary
LW60141913
WA
171M00000X
Case Manager/Care Coordinator
LW60141913
WA
Other
Enumeration date
12/20/2006
Last updated
01/03/2018
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