Individual
DAWN MICHELLE RESVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
5925 162ND STREET CT E, PUYALLUP, WA 98375-9024
(253) 459-3299
Mailing address
5925 162ND STREET CT E, PUYALLUP, WA 98375-9024
(253) 459-3299
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CL60177124
WA
101YM0800X
Mental Health Counselor
HP60222830
WA
1041C0700X
Clinical Social Worker
Primary
LW60236466
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/15/2011
Last updated
12/21/2023
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