Individual
MR. JOSEPH KIM MYRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSWA
Contact information
Practice address
325 PIONEER AVE, PUYALLUP, WA 98372
(253) 697-8400
(253) 697-3730
Mailing address
5005 PACIFIC HWY E STE 20, FIFE, WA 98424-2647
(253) 922-6522
(253) 922-6955
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00005499
WA
1041C0700X
Clinical Social Worker
Primary
SC60271192
WA
Other
Enumeration date
12/09/2014
Last updated
09/02/2016
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