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NPI Code Detail

MEDICARE: MARISA CORONA

MEDICARE:   MARISA  CORONA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramWA
21041C0700XClinical Social WorkerSWIA.SC.70050316WA
3101Y00000XCounselor61612837WA
4104100000XSocial WorkerSWIA.SC.70050316WA

General Provider Information

NPI Number : 1700606787
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISA CORONA
Provider Business Mailing Address
First Line : 107 S DIVISION ST
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1510
Country : US
Telephone Number : 509-458-7461
Fax Number :
Provider Business Practice Location Address
First Line : 1121 N ARGONNE RD
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99212-2686
Country : US
Telephone Number : 509-838-4651
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2024
Last Update Date : 05/14/2026

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Directions to “ MARISA CORONA ” Practice Location

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