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
ZIP Code
99324
Phone
(509) 525-2135

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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