Individual
AILEEN MARIE HETRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
16528 E DESMET CT STE B2100, SPOKANE VALLEY, WA 99216-3522
(509) 944-9440
(509) 474-6606
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60584181
WA
1041C0700X
Clinical Social Worker
LW60584181
WA
1041S0200X
School Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427343169
—
WA
Enumeration date
06/10/2011
Last updated
05/19/2021
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