Individual
AMY WATERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1413 W YORK AVE, SPOKANE, WA 99205-3568
(509) 951-0995
Mailing address
1413 W YORK AVE, SPOKANE, WA 99205-3568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60893230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60893230
LICSW
WA
Enumeration date
03/19/2020
Last updated
03/19/2020
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