Individual
ALYSSA DANIELLE PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
400 S JEFFERSON ST STE 451B, SPOKANE, WA 99204-3121
(509) 637-5001
Mailing address
PO BOX 172, VERADALE, WA 99037-0172
(509) 637-5001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60976186
WA
1041C0700X
Clinical Social Worker
Primary
LW60976186
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114452
—
WA
Enumeration date
06/10/2016
Last updated
09/08/2020
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