Individual
LETA MAILE LAWHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSWA
Contact information
Practice address
530 BOGACHIEL WAY, FORKS, WA 98331-9120
(360) 327-8334
(360) 374-9266
Mailing address
P.O. BOX 1613, FORKS, WA 98331
(509) 981-9809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60998669
WA
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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