Individual
MINDY LEE HEGSTAD-HULSIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW ASSOCIATE
Contact information
Practice address
42 ELOCHOMAN VALLEY RD, CATHLAMET, WA 98612-9602
(360) 795-8630
Mailing address
2123 DELAWARE ST, LONGVIEW, WA 98632-2233
(360) 751-2293
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61086966
WA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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