Individual
EDWIN FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
1102 S RAYMOND RD, SPOKANE VALLEY, WA 99206-3534
(509) 892-4342
Mailing address
1102 S RAYMOND RD, SPOKANE VALLEY, WA 99206-3534
(509) 892-4342
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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