Individual
ANN M STUCKART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
628 S MAPLE ST STE 103, SPOKANE, WA 99204-3445
(509) 418-5541
(509) 418-5542
Mailing address
628 S MAPLE ST STE 103, SPOKANE, WA 99204-3445
(509) 418-5541
(509) 418-5542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009594
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053508515
NPI
WA
Enumeration date
09/28/2007
Last updated
07/27/2022
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