Provider Demographics
NPI:1780454264
Name:CUEVAS HUGHES, AWILDA INES (LICSW)
Entity type:Individual
Prefix:MRS
First Name:AWILDA
Middle Name:INES
Last Name:CUEVAS HUGHES
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18435 110TH AVE E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98374-9017
Mailing Address - Country:US
Mailing Address - Phone:208-791-0273
Mailing Address - Fax:
Practice Address - Street 1:18435 110TH AVE E
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98374-9017
Practice Address - Country:US
Practice Address - Phone:208-791-0273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW613679921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty