Individual
ALISA STEPHANY BURLAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
704 E 4TH AVE, POST FALLS, ID 83854-7559
(208) 676-1075
Mailing address
18902 E 2ND AVE, SPOKANE VALLEY, WA 99016-8753
(509) 979-2371
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LMSW-41761
ID
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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