Individual
DEEANNA PERSONIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LW61596199
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
(360) 575-1950
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW61596199
WA
Other
Enumeration date
09/14/2021
Last updated
12/06/2024
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