Individual
CLARE ELIZABETH COETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, LICSW
Contact information
Practice address
PO BOX 260, BUCKLEY, WA 98321-0260
(951) 743-4789
Mailing address
2704 I ST NE, AUBURN, WA 98002-2411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW60691232
WA
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN61207537
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61583998
WA
Other
Enumeration date
08/09/2012
Last updated
08/12/2024
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