Organization
CONCERNED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CARROLL (PROGRAM SPECIALIST)
(360) 374-9340
Entity
Organization
Contact information
Practice address
945 S FORKS AVE, FORKS, WA 98331
(360) 374-9340
(360) 374-4346
Mailing address
PO BOX 1787, FORKS, WA 98331-1787
(360) 374-9340
(360) 374-4346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
IS-264
WA
252Y00000X
Early Intervention Provider Agency
IS-264
WA
Other
Enumeration date
08/21/2008
Last updated
03/25/2025
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