Individual
GRACE RAEANN REINKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWAIC
Contact information
Practice address
111 ADAMS DR, KELSO, WA 98626-1868
(360) 846-7493
Mailing address
PO BOX 65, LONGVIEW, WA 98632-7041
(360) 846-7493
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61607638
WA
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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