Individual
MR. LOUIE GABRIELE HALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
2205 N. 30TH ST., SUITE B, TACOMA, WA 98403
(253) 272-5059
Mailing address
2205 N. 30TH ST., SUITE B, TACOMA, WA 98403
(253) 272-5059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005315
WA
Other
Enumeration date
03/06/2009
Last updated
03/06/2009
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