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Individual

GRACIELA J ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
402 S 12TH AVE, YAKIMA, WA 98902-3115
(509) 575-0114
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 853-1082
(509) 452-5224

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
SC61190980
WA
1041C0700X
Clinical Social Worker
Primary
SC61181391
WA

Other

Enumeration date
05/11/2022
Last updated
05/11/2022
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