Individual
EVA ROXANNE BORMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
970 TERRACE DR, FRIDAY HARBOR, WA 98250-6510
(360) 298-4656
Mailing address
970 TERRACE DR, FRIDAY HARBOR, WA 98250-6510
(360) 298-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61184551
WA
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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