Individual
ELLEN MARIE STANDEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, LCSW
Contact information
Practice address
2621 NE 134TH ST, STE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Mailing address
2621 NE 134TH ST, STE 340, VANCOUVER, WA 98686-3036
(360) 450-0140
(877) 343-0535
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
L7044
OR
1041C0700X
Clinical Social Worker
Primary
LW60748476
WA
Other
Enumeration date
04/22/2017
Last updated
05/13/2026
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