Individual
HEATHER FONSECA-BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 396-5800
Mailing address
3619 42ND AVE NE, TACOMA, WA 98422-2481
(253) 223-2523
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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