Individual
HALEY RAE LIGHTFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 E 2ND AVE, SPOKANE, WA 99202-2225
(509) 835-4404
Mailing address
2721 N CHERRY ST UNIT A303, SPOKANE VALLEY, WA 99216-5204
(509) 960-0814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61175820
WA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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