Individual
CARRIE TALAMAIVAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
20413 SE 261ST PL, COVINGTON, WA 98042-6109
(813) 909-6966
Mailing address
20413 SE 261ST PL, COVINGTON, WA 98042-6109
(813) 909-6966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61212697
WA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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