Individual
KATRINA KARMEN PRIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5015 SHINCKE RD NE, OLYMPIA, WA 98506-9632
(360) 688-9575
Mailing address
5015 SHINCKE RD NE, OLYMPIA, WA 98506-9632
(360) 688-9575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61496340
WA
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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