Dr. WALLACE ROBERTO ASCENCIO LICSW
Individual Provider (NPI-1)
Active
Social Worker, Clinical
Provider Information
- NPI Number
1659847721- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LICSW
- Status
- Active
Contact & Location
- Address
- 7401 W HOOD PL STE 117, KENNEWICK, WA, 993363400
- Phone
- (509) 596-6230
- Fax
- (509) 221-1455
Specialties & Taxonomies
Social Worker, Clinical
Primary License: WA #LW61216281