Individual
LIANA FAIRE SHULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
340 NE MAPLE, PULLMAN, WA 99163
(509) 334-1133
(509) 334-1133
Mailing address
340 NE MAPLE, PULLMAN, WA 99163
(509) 334-1133
(509) 332-1608
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0507
—
AK
Enumeration date
06/07/2012
Last updated
08/13/2014
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