Individual
KENNETH C. HALVORSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3227 CHAPPAREL DR SW, TUMWATER, WA 98512-6365
(360) 969-1658
Mailing address
3227 CHAPPAREL DR SW, TUMWATER, WA 98512-6365
(360) 969-1658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWI.LW.00005876
WA
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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