MR. C Henry Balderrama, MSW, LICSW

NPI #1003205147 in Tacoma, Washington

Provider Information

NPI Number: 1003205147
Entity Type: Individual
Name: MR. C Henry Balderrama, MSW, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSW
Enumeration Date: Jan 13, 2015
Last Updated: Sep 10, 2015

Practice Location

Address: 1201 S PROCTOR ST
City: Tacoma
State: Washington
ZIP Code: 98405-2047
Phone: (253) 396-5263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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