Individual
DELORES A CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1520 KELLEY PL, WALLA WALLA, WA 99362-8654
(509) 524-2920
Mailing address
PO BOX 1595, WALLA WALLA, WA 99362-0329
(509) 524-2920
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00005738
WA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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