Individual
MR. CARROLL WILLIS MCINROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
4815 N ASSEMBLY ST, SPOKANE, WA 99205-6185
(509) 434-7779
Mailing address
12112 E BURNETT RD, MEAD, WA 99021-9735
(509) 893-2777
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005901
WA
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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