Individual
MS. TAWNY MARIE GONINAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1201 S PROCTOR ST, TACOMA, WA 98405-2047
(253) 396-5000
(253) 383-5548
Mailing address
1907 104TH ST S APT X102, TACOMA, WA 98444-6775
(253) 753-3494
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CM60400365
WA
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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