Individual
LIANE ETSUKO TAYLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9040A JACKSON AVE, JOINT BASE LEWIS-MCCHORD, WA 98433
(253) 968-2294
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
10330-C
NV
Other
Enumeration date
02/16/2012
Last updated
11/12/2024
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