Organization
VETERANS ADMINSTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RALEIGH DEVINE LICSW (CLINICAL SUPERVISOR)
(253) 583-2826
Entity
Organization
Contact information
Practice address
9600 VETERANS DR, TACOMA, WA 98493-0001
(253) 583-2825
(253) 589-4035
Mailing address
9600 VETERANS DR, TACOMA, WA 98493-0001
(253) 583-2825
(253) 589-4035
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
SC60224505
WA
Other
Enumeration date
02/28/2013
Last updated
03/15/2013
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