Organization
BERRING ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYVONNE BERRING LICSW (LICENSED CLINICAL SOCIAL WORKER)
(253) 988-5211
Entity
Organization
Contact information
Practice address
1470 PACKWOOD AVE, DUPONT, WA 98327-8801
(253) 988-5211
Mailing address
1470 PACKWOOD AVE, DUPONT, WA 98327-8801
(253) 988-5211
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60246847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60246847
DOH LICENSE
WA
Enumeration date
03/14/2016
Last updated
03/14/2016
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