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Nicole Southard, MSW

Social Worker, Clinical in Yakima, WA. Individual provider (NPI-1).

NPI number1316036734
StatusActive
Last updated in NPPESJul 20, 2010

Details

NPI
1316036734
Entity type
Individual (NPI-1)
Name
Nicole Southard
Credential
MSW
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2006
Last updated
Jul 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalLW00006282WAYes

Practice location

402 S 4th Ave
Yakima, WA 98902-3546

Phone 509-575-4084

Mailing address

Po Box 959
Yakima, WA 98907-0959

Phone 509-575-4084

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