Organization
HEATHER DAZELL, MSW, LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ENGLES (BUSINESS MANAGER)
(509) 279-2407
Entity
Organization
Contact information
Practice address
316 W BOONE AVE STE 577, SPOKANE, WA 99201-2346
(509) 279-2407
(509) 279-2506
Mailing address
316 W BOONE AVE STE 577, SPOKANE, WA 99201-2346
(509) 279-2407
(509) 279-2506
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC60302213
WA
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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