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3312 E 27th Ave Spokane WA 99223-4027 | |
| (509) 863-4415 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3312 E 27th Ave, Spokane, Washington |
| Authorized Official Name and Position | Kalyn Makenzy Dahl (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 5098634415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3312 E 27th Ave Spokane WA 99223-4027 Ph: (509) 863-4415 | 3312 E 27th Ave Spokane WA 99223-4027 Ph: (509) 863-4415 |
| NPI Number | 1033921689 |
|---|---|
| Provider Enumeration Date | 01/21/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033921689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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