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Mr. C HENRY BALDERRAMA -- MSW, LICSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1003205147
Provider Type
Individual Provider (NPI-1)
Credentials
MSW, LICSW
Status
Active

Contact & Location

Address
1201 S PROCTOR ST, TACOMA, WA, 984052047
Phone
(253) 396-5263

Specialties & Taxonomies

Social Worker, Clinical Primary License: WA #LW00005964

All Addresses

MAILING

1102 SW 348TH PL

FEDERAL WAY, WA, 980237029

(206) 579-5382

LOCATION

1201 S PROCTOR ST

TACOMA, WA, 984052047

(253) 396-5263