Most Relevant Information
Provider Data
| NPI Number: | 1003387416 |
| Provider Name: | NICOLE E LAIRSON MSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/10/2018 |
| Last Updated: | 12/19/2018 |
Provider Practice Location
500 N MORAIN ST STE 1250
KENNEWICK
WA
993362967
Practice Location Phone/Fax
| Phone: | 5097830500 |
| Fax: |
Provider Mailing Location
500 N MORAIN ST STE 1250
KENNEWICK
WA
993362967
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |