Individual
MRS. JUDITH ANN CANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2417 BROADWAY ST, VANCOUVER, WA 98663-3228
(360) 903-7415
(360) 263-3938
Mailing address
PO BOX 923, LA CENTER, WA 98629-0923
(360) 903-7415
(360) 263-3938
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L4029
OR
1041C0700X
Clinical Social Worker
Primary
LW00009073
WA
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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