Individual
MRS. ANITA ELAINE MARTINA ABBA RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMSW
Contact information
Practice address
1505 HANCOCK ST, LIGHTHOUSE CO CENTER, PORT TOWNSEND, WA 98368
(360) 379-8779
(360) 379-2411
Mailing address
1505 HANCOCK ST, PORT TOWNSEND, WA 98368-8526
(360) 379-8779
(360) 379-2411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004754
WA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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