Provider Demographics
NPI:1902086697
Name:DEERING-SOTH, LEANN MARIE (MSW)
Entity Type:Individual
Prefix:MS
First Name:LEANN
Middle Name:MARIE
Last Name:DEERING-SOTH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18808 E. MARLIN DR.
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99027
Mailing Address - Country:US
Mailing Address - Phone:509-325-0744
Mailing Address - Fax:
Practice Address - Street 1:10814 E BROADWAY AVE
Practice Address - Street 2:SUITE 001
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5003
Practice Address - Country:US
Practice Address - Phone:509-325-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00056490101YM0800X
WA419417A1041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool