Individual
MRS. MARISA DUNHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSWA
Contact information
Practice address
8740 WILKENSEN RD SE, YELM, WA 98597-9718
(360) 836-2951
Mailing address
8740 WILKENSEN RD SE, YELM, WA 98597-9718
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC61327141
WA
1041C0700X
Clinical Social Worker
SC61327141
WA
1041S0200X
School Social Worker
SC61327141
WA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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