Individual
MS. MARISSA KRISTEN WIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7000
Mailing address
2816 W EVERETT AVE, SPOKANE, WA 99205-5826
(509) 795-9340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60529904
WA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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