Ingrid Larraine Colvard, LICSW

NPI #1689002768 in Brush Prairie, Washington

Provider Information

NPI Number: 1689002768
Entity Type: Individual
Name: Ingrid Larraine Colvard, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Oct 28, 2013
Last Updated: Oct 28, 2013

Practice Location

Address: 18606 NE 149TH ST
City: Brush Prairie
State: Washington
ZIP Code: 98606-7137
Phone: (360) 903-2645

Specialties & Taxonomy Codes

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

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