Individual
MRS. RANGELL LYNN WALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-5168
(360) 475-4596
Mailing address
1 BOONE RD, BREMERTON, WA 98312-1894
(360) 475-5168
(360) 475-4596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LW00004538
WA
Other
Enumeration date
03/15/2007
Last updated
03/29/2010
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