Individual
MRS. ROBIN BRADY VAN BOMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSSW,LCSW
Contact information
Practice address
4815 N ASSEMBLY ST, ATT:P&CCS (122), SPOKANE, WA 99205-6185
(509) 434-7769
(509) 434-7129
Mailing address
4815 N. ASSEMBLY STREET, ATT:P&CCS (122), SPOKANE, WA 99205-6197
(509) 434-7769
(509) 434-7129
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
LSW0000001050
TN
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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