Organization
TAMI HALEY LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI HALEY (CLINICAL SOCIAL WORKER)
(509) 710-6292
Entity
Organization
Contact information
Practice address
707 W 7TH AVE STE 294, SPOKANE, WA 99204-2833
(509) 710-6292
(509) 747-1802
Mailing address
PO BOX 8441, SPOKANE, WA 99203-0441
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LW60116916
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2088662
—
WA
Enumeration date
07/10/2017
Last updated
07/10/2017
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