Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 60269060 |
NPI | 1003083171 |
---|---|
Provider Name | Kathy R Mills-George |
First Address | Pasco, WA 99301-1323 |
Second Address | Kennewick, WA 99336-2967 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2008 |
Last Update Date | 16/11/2018 |