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Lacey Marie Longwith
Peer Specialist in Raymond, Washington
NPI 1497289185

Lacey Marie Longwith is a Peer Specialist based in Raymond, WA. Lacey Marie Longwith practices in Raymond, WA. The NPI Number for Lacey Marie Longwith is 1497289185 and holds a License No. (Washington).

The current practice location address for Lacey Marie Longwith is 300 Ocean Ave, Raymond, WA and can be reached out via phone at 360-942-2303.

Location: 300 Ocean Ave, Raymond, WA, 98577-3016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497289185
Provider Name
Lacey Marie Longwith
Credential
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Raymond, WA, 98577-3016
Phone Number
360-942-2303
Fax Number
Provider Enumeration Date
04/19/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Ocean Ave
City
Raymond
State
Washington
Zip
98577-3016
Phone Number
360-942-2303
Fax Number
person
Provider Business Mailing Address Details
Address
300 Ocean Ave
City
Raymond
State
Washington
Zip
98577-3016
Phone Number
360-942-2303
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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