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NPI Code Detail

MEDICARE: MR. MONRA DONALE MUSE LICSW

MEDICARE: MR. MONRA DONALE MUSE 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 WorkerSWI.LW.61080023WA

General Provider Information

NPI Number : 1902745391
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MONRA DONALE MUSE LICSW
Provider Business Mailing Address
First Line : 4911 N POST ST
Second Line :
City : SPOKANE
State : WA
Zip : 99205-5240
Country : US
Telephone Number : 509-481-1989
Fax Number : 509-481-1989
Provider Business Practice Location Address
First Line : 1455 NW LEARY WAY STE 400
Second Line :
City : SEATTLE
State : WA
Zip : 98107-5138
Country : US
Telephone Number : 509-481-1989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2026
Last Update Date : 03/28/2026

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