Individual
GLENDA CAROL BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14011 197TH AVE E, BONNEY LAKE, WA 98391-5236
(206) 355-8114
Mailing address
PO BOX 7541, BONNEY LAKE, WA 98391-0925
(206) 355-8114
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60515696
WA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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