Individual
MRS. MAGEN MALEAH HOLGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
5 S 8TH ST, SELAH, WA 98942-1227
(509) 833-6669
Mailing address
5 S 8TH ST, SELAH, WA 98942-1227
(509) 833-6669
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60421748
WA
Other
Enumeration date
04/26/2010
Last updated
02/19/2014
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