Individual
MCKAYLA FORSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
314 HAYS ST, PO BOX 304, ASOTIN, WA 99402
(509) 254-3264
Mailing address
314 HAYS ST., PO BOX 304, ASOTIN, WA 99402
(509) 254-3264
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500770369
—
OR
01
—
L10677
OREGON LICENSED CLINICAL SOCIAL WORKER LICENSE
OR
01
—
LW61246792
WASHINGTON LICENSED CLINICAL SOCIAL WORKER LICENSE
WA
Enumeration date
10/17/2017
Last updated
11/14/2025
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