Shad Burnett St Paul, MSW, SUDP, LICSW Valid NPI

Individual provider · Clinical Social Worker · Inchelium, WA

NPI

1033503107

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

LW61381427 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2015-03-26

Last updated

2024-11-18