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Individual

MRS. JOELEEN JOYCE WILKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW, CDP, MAC

Contact information

Practice address
1405 E 12TH AVE, SPOKANE, WA 99202-3527
(509) 768-6852
(509) 343-1623
Mailing address
2929 W 17TH AVE, SPOKANE, WA 99224-5507
(509) 768-6852

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60185163
WA
1041C0700X
Clinical Social Worker
Primary
60649635
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2088953
WA
Enumeration date
09/17/2013
Last updated
03/17/2018
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