Organization
LUTHERAN COMMUNITY SERVICES NORTHWEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRUXER LICSW (CQI DIRECTOR)
(509) 747-8224
Entity
Organization
Contact information
Practice address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3627
(509) 747-8224
(509) 747-0609
Mailing address
210 W SPRAGUE AVE, SPOKANE, WA 99201-3627
(509) 747-8224
(509) 747-0609
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
602 128 998
WA
Other
Enumeration date
03/15/2007
Last updated
06/23/2009
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