Most Relevant Information
Provider Data
| NPI Number: | 1003052044 |
| Provider Name: | LARISSA D PEAY LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LW 00009158 |
Most Important Dates
| Enumeration Date: | 12/22/2008 |
| Last Updated: | 03/06/2023 |
Provider Practice Location
310 3RD AVE NE STE 105
ISSAQUAH
WA
980273345
Practice Location Phone/Fax
| Phone: | 8012094198 |
| Fax: |
Provider Mailing Location
310 3RD AVE NE STE 105
ISSAQUAH
WA
980273345
Provider Mailing Phone/Fax
| Phone: | 8012094198 |
| Fax: |