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NPI Code Detail

MEDICARE: KAYLA LEVINE LICSW

MEDICARE: KAYLA LEVINE LICSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1306413935
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA LEVINE LICSW
Provider Business Mailing Address
First Line : 504 E 2ND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 504 E 2ND AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99202-1406
Country : US
Telephone Number : 509-462-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2021
Last Update Date : 06/10/2021

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Directions to “ KAYLA LEVINE LICSW” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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