Individual
HEIDI VICTORIA LAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 835-1281
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG1461627
WA
104100000X
Social Worker
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/20/2022
Last updated
08/18/2023
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