| Katharine Dickinson Licsw | |
|
12128 N Division St Pmb 2012 Spokane WA 99218-7262 | |
| (509) 731-4809 | |
| Not Available |
| Full Name | Katharine Dickinson Licsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12128 N Division St Pmb 2012, Spokane, Washington |
| Authorized Official Name and Position | Katharine Dickinson (OWNER) |
| Authorized Official Contact | 5098007121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katharine Dickinson Licsw 3327 E Montgomery Ave Spokane WA 99217 Ph: (509) 220-5939 | Katharine Dickinson Licsw 12128 N Division St Pmb 2012 Spokane WA 99218-7262 Ph: (509) 731-4809 |
| NPI Number | 1912780750 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 08/21/2023 |
| Certification Date | 08/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912780750 | NPI | - | NPPES |
| 1215467071 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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