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Individual

TERESA NICOLE OLIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LW60665792

Contact information

Practice address
111 SOUTH 2ND AVE, YAKIMA, WA 98902
(509) 575-2885
Mailing address
33 S 2ND AVE, YAKIMA, WA 98902-3414
(509) 864-7699

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60665792
WA
1041C0700X
Clinical Social Worker
CG60419842
WA
1041C0700X
Clinical Social Worker
LW60665792
WA
1041C0700X
Clinical Social Worker
SA60431101
WA

Other

Enumeration date
11/05/2013
Last updated
03/16/2026
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