TAHTANKA BEAR EAGLE, MSW, LICSW

Social Worker - Clinical

Active Individual
NPI: 1215483821

Practice Address

840 E PLUM ST
Moses Lake, WA 98837

Phone: (509) 765-9239

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No SC60137902 (WA)
Social Worker - Clinical 1041C0700X Yes LW60717495 (WA)

Frequently Asked Questions

NPI 1215483821 is the National Provider Identifier for TAHTANKA BEAR EAGLE, MSW, LICSW, a Social Worker - Clinical provider located in Moses Lake, WA. This NPI was enumerated on September 1, 2016.
TAHTANKA BEAR EAGLE, MSW, LICSW practices at 840 E PLUM ST, Moses Lake, WA 98837.

Quick Facts

NPI
1215483821
Type
Individual
Enumerated
Sep 1, 2016
Last Updated
Jan 7, 2020

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