Individual
KRISTEN MENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1157 3RD AVE STE 100, LONGVIEW, WA 98632-6007
(360) 751-1112
(360) 577-8879
Mailing address
1157 3RD AVE STE 100, LONGVIEW, WA 98632-6007
(360) 751-1112
(360) 577-8879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60143974
WA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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