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Individual

KEREN ELIZABETH VIRGINIA TANGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.W.

Contact information

Practice address
7610 40TH ST W STE 300, UNIVERSITY PLACE, WA 98466-3834
(253) 533-0454
(253) 830-6243
Mailing address
7610 40TH ST W STE 300, UNIVERSITY PLACE, WA 98466-3834
(253) 533-0454
(253) 830-6243

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
LW61003635
WA

Other

Enumeration date
02/19/2016
Last updated
10/06/2020
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