Individual
KATHERINE MARIE GINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1402 S 11TH ST, TACOMA, WA 98405-3608
(253) 655-7817
Mailing address
1605 YAKIMA AVE, TACOMA, WA 98405-4462
(503) 830-7101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60864171
WA
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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