Individual
MS. MARY ELLEN HUSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
325 SPRUCEWOOD PLACE, COLLEGE PLACE, WA 99324
(509) 525-2135
Mailing address
325 NE SPRUCEWOOD PL, COLLEGE PLACE, WA 99324-2040
(509) 525-5200
(509) 527-3481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00008673
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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