Individual
MS. CAROL LOUISE IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2330 EASTGATE ST STE 140, WALLA WALLA, WA 99362
(509) 593-8122
(509) 769-5221
Mailing address
2330 EASTGATE ST STE 140, WALLA WALLA, WA 99362-1589
(509) 593-8122
(509) 769-5221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60811024
LICSW
WA
Enumeration date
07/03/2008
Last updated
10/12/2018
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