Individual
CORYNN MANSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1403 S GRAND BLVD STE 101S, SPOKANE, WA 99203-2272
(208) 413-2442
Mailing address
1513 N RIVER VISTA ST, SPOKANE, WA 99224-5675
(208) 413-2442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60940908
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
06/09/2019
Last updated
10/30/2019
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