Individual
LISA DANIELLE TANIGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
124 E SHORT AVE, SPOKANE, WA 99202-1555
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61197278
WA
104100000X
Social Worker
Primary
SC61200594
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
12/10/2019
Last updated
08/13/2021
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