Individual
ALYSSA ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSWAA
Contact information
Practice address
1126 S GOLD ST, CENTRALIA, WA 98531-3768
(360) 807-4929
(360) 807-4160
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SA61503303
WA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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