Individual
HEATHER BERTHOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7000
Mailing address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00009690
WA
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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