Individual
MR. LAWRENCE LORENZO GONCALVES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4301 S PINE ST STE 301, TACOMA, WA 98409-7206
(253) 476-6500
Mailing address
4301 S PINE ST STE 301, TACOMA, WA 98409-7206
(253) 476-6500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009741
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW00009741
LICSW
WA
01
—
RC00029532
REGISTERED COUNSELOR
WA
Enumeration date
02/22/2007
Last updated
05/05/2021
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