Leta Maile Lawhead, MSW, LICSWA

NPI #1508404799 in Forks, Washington

Provider Information

NPI Number: 1508404799
Entity Type: Individual
Name: Leta Maile Lawhead, MSW, LICSWA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW, LICSWA
Enumeration Date: Dec 18, 2019
Last Updated: Dec 18, 2019

Practice Location

Address: 530 BOGACHIEL WAY
City: Forks
State: Washington
ZIP Code: 98331-9120
Phone: (360) 327-8334

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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