Individual
GARY REDDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 E INDIANA AVE, SPOKANE, WA 99207-2318
(509) 323-5355
Mailing address
222 E INDIANA AVE, SPOKANE, WA 99207-2318
(509) 323-5355
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94-1156347
—
WA
Enumeration date
05/09/2007
Last updated
05/18/2021
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