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Individual

ELISA MANAPAT FU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSWA

Contact information

Practice address
6400 NE HIGHWAY 99 STE G1063, VANCOUVER, WA 98665-8799
(360) 524-4833
(360) 326-9691
Mailing address
6400 NE HIGHWAY 99 STE G1063, VANCOUVER, WA 98665-8799
(360) 524-4833
(360) 326-9691

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1041C0700X
Clinical Social Worker
Primary
61431858
WA

Other

Enumeration date
01/04/2022
Last updated
07/25/2024
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