Organization
MINDFUL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH ANN CANTER LICSW (MANAGER)
(360) 567-4595
Entity
Organization
Contact information
Practice address
2403 BROADWAY ST, VANCOUVER, WA 98663-3228
(360) 567-4595
(360) 213-1816
Mailing address
PO BOX 923, LA CENTER, WA 98629-0923
(360) 567-4595
(360) 213-1816
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009073
WA
Other
Enumeration date
07/04/2007
Last updated
12/26/2008
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