Individual
KRISTY MILDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, SUDP
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(253) 209-3423
Mailing address
8207 49TH STREET CT W, UNIVERSITY PLACE, WA 98467-1970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60588132
WA
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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