Individual
JUDITH ANNE BARTHOLOMEW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1329 BROADWAY ST, STE 202, LONGVIEW, WA 98632-3747
(360) 425-1322
Mailing address
1329 BROADWAY ST, STE 202, LONGVIEW, WA 98632-3747
(360) 425-1322
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004804
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
925914
REGENCE BLUE SHIELD OF WA
WA
Enumeration date
05/18/2006
Last updated
07/08/2007
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