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AMBER GENTRYSOUTHARD, M.S.W, LICSW
M.S.W, LICSW
Clinical Social Worker
NPI: 1902079924IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Social WorkerPrimary
Social Worker — Clinical
Code: 1041C0700X
LW 60072190(WA)
CMS Specialties
PrimaryCLINICAL SOCIAL WORKER
Education
OTHER
Class of 2005
Contact & Hours
- Address
- 325 E PIONEER
PUYALLUP, WA 98372 - Phone
- (253) 445-8120
Quick Facts
- NPI
- 1902079924
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 21
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