Individual
CAROLYN LYNN VANDERBLOEMEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
407 14TH AVE SE, PUYALLUP, WA 98372-3770
(253) 697-4000
Mailing address
1401 FIRLAND DR, PUYALLUP, WA 98371-6623
(503) 298-9808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003293
NC
Other
Enumeration date
05/20/2011
Last updated
05/20/2011
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