Individual
LEA ANN HOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1701 E EVERGREEN BLVD, VANCOUVER, WA 98661-4289
(360) 281-3114
(844) 400-6494
Mailing address
8601 NE SUNNYSIDE DR, VANCOUVER, WA 98662-2854
(360) 281-3114
(844) 400-6494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60710896
WA
Other
Enumeration date
09/04/2008
Last updated
11/30/2018
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