Shayne Immen
Shayne Immen is a Social Worker in Tacoma, Washington. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
721 Fawcett Ave Ste 100Tacoma, WA 98402-5502
Phone: (253) 250-1243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Social Worker (primary) | Taxonomy 104100000X |
|---|
Record details
| NPI number | 1659993764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 12, 2020 |
| Last updated in NPPES | May 12, 2020 |
| Certification date | May 12, 2020 |
| Mailing address | 721 Fawcett Ave Ste 101, Tacoma, WA 98402-5502 |
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