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Individual

MRS. BRENDA LEA ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW

Contact information

Practice address
505 N. ARGONNE RD., SUITE B108, SPOKANE VALLEY, WA 99212
(509) 926-9911
(509) 926-9988
Mailing address
505 N. ARGONNE RD., SUITE B108, SPOKANE VALLEY, WA 99212
(509) 926-9911
(509) 926-9988

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LW00008852
WA
1041S0200X
School Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2043068
WA
Enumeration date
05/15/2006
Last updated
05/09/2019
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