Individual
MARILEE SARAH KATE MUIRHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADC
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
(253) 968-2252
Mailing address
9040 REID STREET, ATTN: MCHJ-CLQ-C, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-1100
(253) 968-2252
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
203890
IL
1041C0700X
Clinical Social Worker
Primary
149.012149
IL
Other
Enumeration date
10/04/2010
Last updated
12/12/2012
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