Individual
MARYANN H MICHAELIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSWAIC
Contact information
Practice address
925 STEVENS DR STE 3A, RICHLAND, WA 99352-3523
(509) 416-0224
Mailing address
1041 LETHBRIDGE AVE, RICHLAND, WA 99352-7810
(509) 416-0224
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60962751
WA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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