Abby Berman, L.I.C.S.W.
Social Worker, Clinical in Ellensburg, WA. Individual provider (NPI-1).
NPI number1396944690
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1396944690
- Entity type
- Individual (NPI-1)
- Name
- Abby Berman
- Credential
- L.I.C.S.W.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2007
- Last updated
- Jul 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW00006558 | WA | Yes |
Practice location
305 W 11th AveSuite 1
Ellensburg, WA 98926-2409
Phone 509-962-2954
Mailing address
305 W 11th AveSuite 1
Ellensburg, WA 98926-2409
Phone 509-962-2954
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