Individual
BONNIE ROSE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LSWAIC MHP CDP
Contact information
Practice address
E 44 COZZA, SPOKANE, WA 99208
(509) 325-6800
Mailing address
501 WEST COURT AVENUE, CHEWELAH, WA 99109
(509) 435-5345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC60592226
WA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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