Individual
LUCY ANN ENTENMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
332 NICHOLS RD, STEVENSON, WA 98648-6113
(360) 521-3854
Mailing address
5671 NW HOOD LOOP, CAMAS, WA 98607
(360) 521-3854
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60778478
WA
Other
Enumeration date
06/05/2018
Last updated
12/30/2021
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