Tahtanka Bear Eagle, MSW, LICSW
NPI #1215483821 in Moses Lake, Washington
Provider Information
- NPI Number
- 1215483821
- Entity Type
- Individual
- Name
- Tahtanka Bear Eagle, MSW, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW, LICSW
- Enumeration Date
- Sep 1, 2016
- Last Updated
- Jan 7, 2020
Practice Location
- Address
- 840 E PLUM ST
- City
- Moses Lake
- State
- Washington
- ZIP Code
- 98837-1874
- Phone
- (509) 765-9239
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
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