Individual
MRS. LISA ANNE MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, ACSW
Contact information
Practice address
109 N 78TH AVE, YAKIMA, WA 98908-4133
(509) 833-1556
Mailing address
109 N 78TH AVE, YAKIMA, WA 98908-4133
(509) 833-1556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006333
WA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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