Individual
MADDISON CAPRI MEIJOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
5407 W 17TH AVE, KENNEWICK, WA 99338-7549
(509) 948-7023
Mailing address
5407 W 17TH AVE, KENNEWICK, WA 99338-7549
(509) 948-7023
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61020983
WA
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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