Individual
MS. CHARLYNN MERCEDES RAYMOND-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7426 NEWCASTLE GOLF CLUB RD # 4C, NEWCASTLE, WA 98059-9146
(425) 941-8262
Mailing address
7426 NEWCASTLE GOLF CLUB ROAD, 4C, NEWCASTLE, WA 98059
(425) 941-8262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3754
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
UPIN
HI
Enumeration date
01/11/2013
Last updated
01/11/2013
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