Individual
MS. DIANE ROSE LETCHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
472 FRANCES LANE, LOPEZ ISLAND, WA 98261-0463
(360) 468-4094
Mailing address
PO BOX 463, 472 FRANCES LANE, LOPEZ ISLAND, WA 98261-0463
(360) 468-4094
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001536
WA
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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