Individual
MR. GARY RAE LITTLE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
701 HOSPITAL LOOP STE 276, FAIRCHILD AIR FORCE BASE, WA 99011-8704
(509) 247-2687
Mailing address
1621 E 36TH AVE, SPOKANE, WA 99203-4039
(208) 412-2111
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-30498
ID
104100000X
Social Worker
Primary
LW60853220
WA
Other
Enumeration date
09/03/2010
Last updated
04/24/2026
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