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Individual

TARA LEE GOLDENHOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSWAIC

Contact information

Practice address
100 N HOWARD ST STE W, SPOKANE, WA 99201-0508
(425) 387-0188
Mailing address
20469 SE 159TH ST, RENTON, WA 98059-9013
(425) 387-0188

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60823467
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1026117
WA
Enumeration date
11/12/2018
Last updated
06/18/2024
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