Individual
MRS. ESA JEANETTE LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
(509) 363-2762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007128
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
279493
MANAGED HEALTH CARE
WA
Enumeration date
09/24/2006
Last updated
06/16/2014
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