Individual
ANITA TOYO WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSWA
Contact information
Practice address
1821 N. LECLERC RD, CUSICK, WA 99119
(509) 447-7111
Mailing address
PO BOX 5055, NEWPORT, WA 99156-5055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61473466
WA
Other
Enumeration date
06/05/2019
Last updated
05/06/2024
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