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Organization

SKOKOMISH TRIBAL COUNCIL

Active
Parent organization
SKOKOMISH TRIBAL COUNCIL
Other names
SKOKOMISH DEPARTMENT OF SOCIAL SERVICES
Organization subpart
Yes

Provider details

NPI number
Legal business name
SKOKOMISH TRIBAL COUNCIL
Authorized official
FRANCES L LONGSHORE (BUSINESS OFFICE MANAGER)
(360) 426-5755
Entity
Organization

Contact information

Practice address
561 N TRIBAL CENTER RD, SKOKOMISH NATION, WA 98584-7416
(360) 426-5755
(360) 402-0082
Mailing address
561 N TRIBAL CENTER ROAD, SKOKOMISH NATION, WA 98584-9748
(360) 426-5755
(360) 402-0082

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
103T00000X
Psychologist
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1042775
WA
Enumeration date
06/23/2010
Last updated
06/23/2010
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