Individual
KIMBERLY WASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CG6095783
Contact information
Practice address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
(360) 763-5797
Mailing address
612 WOODLAND SQUARE LOOP SE STE 401, LACEY, WA 98503-1070
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
CG60965783
WA
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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