MS. Mary Ellen Hustead, LICSW
NPI #1316059983 in College Place, Washington
Provider Information
- NPI Number
- 1316059983
- Entity Type
- Individual
- Name
- MS. Mary Ellen Hustead, LICSW
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 325 SPRUCEWOOD PLACE
- City
- College Place
- State
- Washington
- ZIP Code
- 99324
- Phone
- (509) 525-2135
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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