Individual
LENEICE GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
522 W RIVERSIDE AVE STE N, SPOKANE, WA 99201-0580
(509) 631-8225
Mailing address
522 W RIVERSIDE AVE, SPOKANE, WA 99201-0580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-21254
AZ
1041C0700X
Clinical Social Worker
Primary
SWIASC61482282
WA
Other
Enumeration date
03/15/2023
Last updated
12/15/2023
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