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Organization
SPIRIT HORSES
Active
Organization
SPIRIT HORSES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA JEANETTE SMITH LICSW (GEN PTR)
(360) 900-8711
Entity
Organization
Contact information
Practice address
219 NE MOE ST, POULSBO, WA 98370-7347
(360) 900-8711
(360) 284-2526
Mailing address
545 NW CAROLYN LN, POULSBO, WA 98370-9750
(360) 900-8711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/14/2021
Last updated
12/29/2024
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