Individual
ELSA S DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SPECIALIST
Contact information
Practice address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 948-0203
Mailing address
151 N MARKET BLVD STE C, CHEHALIS, WA 98532-2677
(360) 948-0203
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1376696096
WA
175T00000X
Peer Specialist
1891253373
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376696096
—
WA
05
—
175T00000X
—
WA
Enumeration date
03/04/2019
Last updated
06/23/2022
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