John Gauntt Kilpatrick, MSW
Social Worker, Clinical in Spokane, WA. Individual provider (NPI-1).
NPI number1285961433
StatusActive
Last updated in NPPESSep 17, 2019
Details
- NPI
- 1285961433
- Entity type
- Individual (NPI-1)
- Name
- John Gauntt Kilpatrick
- Credential
- MSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2009
- Last updated
- Sep 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | LW60951098 | WA | Yes |
| 101YS0200X | Counselor, School | I-06049 | NM |
Practice location
711 E 3rd AveSpokane, WA 99202-2211
Phone 509-838-4651 · Fax 509-363-2762
Mailing address
107 S Division StSpokane, WA 99202-1510
Phone 509-838-4651 · Fax 509-363-2762
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