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Individual

DR. LORI A SIRS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
4313 6TH AVE SE STE C, LACEY, WA 98503-1072
(208) 250-5133
Mailing address
4313 6TH AVE SE STE C, LACEY, WA 98503-1072
(208) 250-5133

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-29456
ID
1041C0700X
Clinical Social Worker
Primary
LW-60711928
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LW60711928
LICENSE
WA
Enumeration date
11/21/2006
Last updated
07/27/2019
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