Individual
TAMARA KAY SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
2330 EASTGATE ST STE 105, WALLA WALLA, WA 99362-1559
(509) 973-5788
Mailing address
509 ELLIS CT, MILTON FREEWATER, OR 97862-1012
(208) 867-6482
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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