SearchWashington1041C0700X

Mark Fuqua, LMSW

NPI 1598248924 · on the registry since 2018 · sole proprietor

Practice

Address
100 N Howard St Ste W
Spokane, WA 99201
Phone
(615) 852-7816
Organisation at this address
Brain Pros
Farnea Pllc
Pedipod Pllc
Renee Woodring
Anew Med, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
413

Additional practice sites

  • 409 Birchclay Pt S, Antioch, TN

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
TN, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington