Individual
MICHAEL KEVIN STRUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
802 39TH AVE SW, PUYALLUP, WA 98373-5915
(253) 841-9720
(253) 770-9568
Mailing address
2109 MCELROY PL, PUYALLUP, WA 98371-5004
(253) 841-9720
(253) 770-9568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004263
WA
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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