Erma Lus Medina, LCSW

NPI #1265006092 in Grandview, Washington

Provider Information

NPI Number
1265006092
Entity Type
Individual
Name
Erma Lus Medina, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
May 17, 2021
Last Updated
May 17, 2021

Practice Location

Address
605 PARK AVE
ZIP Code
98930-1534
Phone
(509) 830-4624

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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