Individual
HEIDI CHIYOMI YAMAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 396-5000
(253) 383-5548
Mailing address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 396-5000
(253) 383-5548
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61199470
WA
1041C0700X
Clinical Social Worker
Primary
LW61199470
WA
Other
Enumeration date
08/05/2021
Last updated
12/20/2021
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