Individual
CAMILLE LUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 E PACIFIC AVE, SPOKANE, WA 99202-1518
(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
CG61001714
WA
104100000X
Social Worker
Primary
SC61332106
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/03/2020
Last updated
09/15/2022
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