Individual
AMY EBERSOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2427 LINCOLN ST, BELLINGHAM, WA 98225-3841
(360) 220-9240
Mailing address
2950 NEWMARKET ST STE 101342, BELLINGHAM, WA 98226-3872
(360) 220-9240
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61075196
WA
Other
Enumeration date
04/22/2016
Last updated
12/10/2020
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