Individual
MARK INGOLDBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
820 S MCCLELLAN ST, SUITE 200, SPOKANE, WA 99204-2457
(509) 474-1144
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(509) 747-1144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW00009528
WA
Other
Enumeration date
01/04/2017
Last updated
01/23/2019
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