Individual
HEATHER THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 S RAYMOND RD, SPOKANE VALLEY, WA 99206-3534
(509) 892-4342
(509) 928-2804
Mailing address
1102 S RAYMOND RD, SPOKANE VALLEY, WA 99206-3534
(509) 892-4342
(509) 928-2804
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG61006495
—
WA
05
—
LCSW38183
—
ID
Enumeration date
08/19/2015
Last updated
10/01/2019
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