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Individual

ELIZABETH A EZELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
4002 S M ST STE G, TACOMA, WA 98418-3800
(253) 579-5718
Mailing address
6208 S MASON AVE, TACOMA, WA 98409-1642
(253) 579-5718
(949) 577-4199

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60906916
WA

Other

Enumeration date
10/21/2020
Last updated
04/14/2025
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