Individual
MS. CONNIE GAIL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
9040 FITZSIMMONS DR, TACOMA, WA 98431-1100
(253) 968-3629
(253) 968-2972
Mailing address
9602 175TH ST CT E, PUYALLUP, WA 98006
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006159
WA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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