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NPI Code Detail

MEDICARE: JESSIE LORELL HARSE MSW

MEDICARE:   JESSIE LORELL HARSE  MSW
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 WorkerLW60809349WA

General Provider Information

NPI Number : 1700304920
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSIE LORELL HARSE MSW
Provider Business Mailing Address
First Line : 2525 E. 29TH AVE
Second Line : STE 10B PMB 125
City : SPOKANE
State : WA
Zip : 99223
Country : US
Telephone Number : 509-999-7178
Fax Number :
Provider Business Practice Location Address
First Line : 901 N MONROE ST
Second Line :
City : SPOKANE
State : WA
Zip : 99201-2104
Country : US
Telephone Number : 509-999-7178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2017
Last Update Date : 05/27/2026

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Directions to “ JESSIE LORELL HARSE MSW” Practice Location

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