Individual
MARY WATER MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2442 LOWER ELWHA RD, PORT ANGELES, WA 98363-8405
(360) 643-9398
Mailing address
PO BOX 293, PORT ANGELES, WA 98362-0100
(360) 643-9398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006102
WA
Other
Enumeration date
10/19/2023
Last updated
03/03/2025
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