Provider Demographics
NPI:1467542738
Name:MAGRETTA, DEBRA A (LICSW, ACSW)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:A
Last Name:MAGRETTA
Suffix:
Gender:F
Credentials:LICSW, ACSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 48294
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99228-1294
Mailing Address - Country:US
Mailing Address - Phone:509-701-3080
Mailing Address - Fax:509-474-1215
Practice Address - Street 1:3913 N POST ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-1149
Practice Address - Country:US
Practice Address - Phone:509-701-3080
Practice Address - Fax:509-474-1215
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-14
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000041721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical