Individual
MS. AMANDA SUE KERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8011 N DAKOTA ST, SPOKANE, WA 99208-5708
(208) 620-1871
Mailing address
8011 N DAKOTA ST, SPOKANE, WA 99208-5708
(208) 620-1871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
LCSW-29818
ID
1041C0700X
Clinical Social Worker
Primary
LW 601946619
WA
Other
Enumeration date
10/06/2009
Last updated
10/09/2013
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