Ms. Misty S. Pilgrim MED, MA, LICSW
Clinical Social Worker in Port Ludlow, WA(View on Map)
Full Name
Ms. Misty Smith Pilgrim MED, MA, LICSW
NPI Number
1790019826
NPI Type
Individual Provider
Gender
Female
Enumeration Date
09/22/2009
Specialties
(Taxonomies)Licenses
State
Hawaii
New Mexico
Washington
License Number
LCSW-5066
SWB-2022-0189
LW61557825
Contact
Information
Purpose
Mailing
Location
Address
46 VILLAGE WAY # 107
46 VILLAGE WAY # 107
City
Port Ludlow
Port Ludlow
State
WA
WA
Postal Code
98365-5102
98365-5102
Country
US
US
Telephone Number
(505) 501-8293
(505) 501-8293
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/08/2024
Provider Address
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