Individual
ALISA M MATTIAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10006 100TH AVE SW, LAKEWOOD, WA 98498-3124
(503) 302-6295
Mailing address
10006 100TH AVE SW, LAKEWOOD, WA 98498-3124
(503) 302-6295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60489586
WA
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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