| Doctor Name: | MS. LAUREL SYLVAN TIPHARETH |
| NPI Number: | 1417003658 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LM, LICSW |
| License Number: | LW60013576 |
| Business Practice Address: | 31562 Highway 97 Tonasket, WA - 988559201 |
| Business Phone Number: | 5093226254 |
| Business Fax Number: | 5093441104 |
| Mailing Address: | 31562 Highway 97, TONASKET |
| State: | WA |
| Postal Code: | 988559201 |
| Phone Number: | 5093226254 |
| Fax Number: | 5093441104 |
| NPI Enumeration Date: | 01/27/2007 |
| NPI Last Update Date: | 08/08/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LW60013576 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |