Individual
MS. JEANNIE DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23505 E APPLEWAY AVE STE 200 #200-1026, LIBERTY LAKE, WA 99019-6003
(509) 253-7834
Mailing address
2102 N CABINET ST, POST FALLS, ID 83854-6037
(208) 859-6840
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-37907
ID
1041C0700X
Clinical Social Worker
Primary
LW61470969
WA
1041C0700X
Clinical Social Worker
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Other
Enumeration date
01/18/2016
Last updated
11/13/2024
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