Individual
MICHAEL J BOTHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7506 N LAURELHURST DR, SPOKANE, WA 99208-6346
(509) 309-6052
Mailing address
7506 N LAURELHURST DR, SPOKANE, WA 99208-6346
(509) 309-6052
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW5690
WA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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