Organization
LOURDES
Active
Other names
Lourdes
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE LARAYNE KIEFFER MSW (CO - OCCURING THERAPIST)
50946033664
Entity
Organization
Contact information
Practice address
224 N 7TH AVE, PASCO, WA 99301
(509) 545-4462
Mailing address
224 N 7TH AVE, PASCO, WA 99301-5411
(509) 554-4462
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
CG60137900
WA
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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