Individual
DELLA AGBAVON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
401 BROADWAY STE 100, TACOMA, WA 98402-3900
(206) 880-1359
Mailing address
3800A BRIDGEPORT WAY W STE 244, UNIVERSITY PLACE, WA 98466-4416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LW60944792
WA
1041C0700X
Clinical Social Worker
Primary
LW60944792
WA
Other
Enumeration date
12/30/2020
Last updated
03/18/2021
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