Individual
LEANNE K SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Mailing address
165 E HAWTHORNE AVE, COLVILLE, WA 99114-2629
(509) 684-4597
(509) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CO60927159
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CO60927159
WA
Other
Enumeration date
02/15/2019
Last updated
03/05/2026
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