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Individual

ERIN ANN CLOUTHIER ANTENEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1106 HARRIS AVE STE 210, BELLINGHAM, WA 98225-7001
(360) 920-6472
Mailing address
1106 HARRIS AVE STE 210, BELLINGHAM, WA 98225-7001
(360) 920-6472

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60841888
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2105843
WA
Enumeration date
06/19/2018
Last updated
01/14/2020
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