Organization
EMILY LANDIS LICSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY J LANDIS LICSW (OWNER)
(360) 477-5668
Entity
Organization
Contact information
Practice address
113 S EUNICE ST, PORT ANGELES, WA 98362-3333
(360) 477-5668
Mailing address
PO BOX 2223, PORT ANGELES, WA 98362-0289
(360) 477-5668
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LW60524212
WA
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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