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Individual

NICHOLAS ANTHONY MARINELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BEHAVORIAL SUPPORT

Contact information

Practice address
3910 W INDIAN TRAIL RD, SPOKANE, WA 99208-4739
(509) 559-3100
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61095378
WA
1041C0700X
Clinical Social Worker
Primary
CG61095378
WA

Other

Enumeration date
09/22/2021
Last updated
07/26/2022
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