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Individual

JOSEPH J LAROCQUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SUDP

Contact information

Practice address
3710 N MONROE ST, SPOKANE, WA 99205-2850
(509) 328-5234
(509) 328-2358
Mailing address
1919 W GARDNER AVE, SPOKANE, WA 99201-1743
(509) 850-1354

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61334705
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2077844
WA
05
2204287
WA
Enumeration date
09/25/2020
Last updated
08/25/2022
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