Raymond Welliver, LICSW

NPI #1114120144 in Mount Vernon, Washington

Provider Information

NPI Number: 1114120144
Entity Type: Individual
Name: Raymond Welliver, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Jun 7, 2007
Last Updated: Oct 5, 2009

Practice Location

Address: 1010 E COLLEGE WAY
City: Mount Vernon
State: Washington
ZIP Code: 98273-5624
Phone: (360) 542-8920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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