Individual
MISTY BOTTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 558-2046
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 558-2046
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L7371
OR
1041C0700X
Clinical Social Worker
Primary
LW61178394
WA
Other
Enumeration date
05/27/2014
Last updated
12/17/2021
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