Individual
MYRNA JUDITH KAIPOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4232 6TH AVE SE STE 101, LACEY, WA 98503-1081
(253) 583-2825
Mailing address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(253) 448-3190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
104100000X
Social Worker
SA61410542
WA
104100000X
Social Worker
Primary
SC61520842
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/20/2021
Last updated
03/23/2024
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