Individual
MS. MYRA J PAULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
8103 STEILACOOM BLVD SW, PMB 274, LAKEWOOD, WA 98498-6154
(253) 589-5334
(253) 584-1496
Mailing address
5426 138TH ST NW, GIG HARBOR, WA 98332-9112
(253) 589-5334
(253) 584-1496
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00008738
WA
Other
Enumeration date
02/27/2011
Last updated
02/27/2011
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