Individual
LAMBORGHINI ALEXIS BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E 3RD AVE, SPOKANE, WA 99202-2211
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60713943
WA
104100000X
Social Worker
Primary
SC61516995
WA
Other
Enumeration date
11/05/2018
Last updated
04/21/2026
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