Organization
YAKIMA VALLEY FARM WORKERS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZUZANA MADRIGAL LSWAIC, MSW (MENTAL HEALTH WORKER)
(509) 831-1842
Entity
Organization
Contact information
Practice address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4260
Mailing address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4260
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SC61310605
SOCIAL WORKER ASSOCIATE INDEPENDENT CLINICAL LICENSE
WA
Enumeration date
06/23/2023
Last updated
06/23/2023
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