Individual
DWAYNE ANTONIO ELDER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
9040 A REID STREET, TACOMA, WA 98431-0001
(253) 565-2481
Mailing address
4902 76TH AVENUE CT W, UNIVERSITY PLACE, WA 98467-4579
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801074453
MI
Other
Enumeration date
05/24/2006
Last updated
07/08/2007
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