Provider Demographics
NPI:1144285651
Name:DRESCHER, SALLY ANN (MSW)
Entity type:Individual
Prefix:
First Name:SALLY
Middle Name:ANN
Last Name:DRESCHER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:ANN
Other - Last Name:NEACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:400 15TH AVE SE
Mailing Address - Street 2:STE D
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372
Mailing Address - Country:US
Mailing Address - Phone:253-697-4863
Mailing Address - Fax:253-697-4818
Practice Address - Street 1:400 15TH AVE SE
Practice Address - Street 2:STE D
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372
Practice Address - Country:US
Practice Address - Phone:253-697-4863
Practice Address - Fax:253-697-4818
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW00008746104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker