Individual
CARIE LYNN ENLOE SUAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
131 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
SC60612362
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60170059
WA
104100000X
Social Worker
SC60612362
WA
1041C0700X
Clinical Social Worker
Primary
LW60960421
WA
Other
Enumeration date
11/15/2018
Last updated
01/27/2020
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