Kim Evangeline Funderburk, MSW
NPI #1346360658 in Walla Walla, Washington
Provider Information
- NPI Number
- 1346360658
- Entity Type
- Individual
- Name
- Kim Evangeline Funderburk, MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Jun 2, 2014
Practice Location
- Address
- 401 W MAIN ST
- Address 2
- STE B
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2837
- Phone
- (509) 240-2644
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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