Meriha Ld Mantle, LICSW
NPI #1083920524 in Walla Walla, Washington
Provider Information
- NPI Number
- 1083920524
- Entity Type
- Individual
- Name
- Meriha Ld Mantle, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Aug 22, 2010
- Last Updated
- Oct 31, 2018
Practice Location
- Address
- 30 W MAIN ST STE 205
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2872
- Phone
- (206) 300-9436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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