Individual
IVAN BARRAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
921 ALLENWHITE DR, RICHLAND, WA 99352-8620
(509) 845-1263
Mailing address
PO BOX 614, RICHLAND, WA 99352-0614
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60365018
WA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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