Individual
MRS. LISA ANDREA CAROTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1724 N COOK ST, SPOKANE, WA 99207-5314
(509) 998-4348
(509) 534-2062
Mailing address
1724 N COOK ST, SPOKANE, WA 99207-5314
(509) 998-4348
(509) 534-2062
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCSW-43205
ID
104100000X
Social Worker
LMSW-30939
WA
1041C0700X
Clinical Social Worker
Primary
LCSW-43205
ID
Other
Enumeration date
03/11/2020
Last updated
04/02/2023
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