Individual
AMARANTA DOMINICK LOPEZ OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5726
(510) 317-1444
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5726
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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