Individual
ALICE ELAINE THULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4973 WHEEL DR, LANGLEY, WA 98260-9776
(360) 221-0746
Mailing address
4973 WHEEL DR, LANGLEY, WA 98260-9776
(360) 341-4438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00008609
WA
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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