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General NPI Number Information
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NPI Number | 1023804507
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Entity Type | Individual
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Provider Name | CARISSA CARENE STONE LICSWA
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Gender | Female
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 212 E CENTRAL AVE STE 440
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City | SPOKANE
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State | WA
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Zip | 99208-6290
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Country | US
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Telephone | 509-252-9602
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Fax |
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Provider Business Mailing Address
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Address Line | 4018 E. 12TH AVENUE
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City | SPOKANE
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State | WA
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Zip | 99202
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Country | US
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Telephone | 509-688-9790
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SC61113634
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License Number State | WA
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