Individual
MS. LARISSA D PEAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
310 3RD AVE NE STE 105, ISSAQUAH, WA 98027-3345
(801) 209-4198
Mailing address
310 3RD AVE NE STE 105, ISSAQUAH, WA 98027-3345
(801) 209-4198
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00009158
WA
Other
Enumeration date
12/22/2008
Last updated
03/06/2023
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