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Provider Information for 1447237136


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Ms. ELEANOR M ULIBARRI licsw


Sex: Female

NPI: 1447237136
Last Updated: 2021-10-26
Certification Date: 2021-10-22

Details

NameValue
NPI1447237136
Enumeration Date2005-12-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 5181
WENATCHEE, WA 98807-5181
United States

Phone: 801-835-7737 | Fax:
 
Primary Practice Address 145 S WORTHEN ST
WENATCHEE, WA 98801-3081
United States

Phone: 509-662-6761 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalUT03466803501
Yes 104100000X - Social Worker WA61064713