| Doctor Name: | DANIELLE MARONICK |
| NPI Number: | 1831445857 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | 00009607 |
| Business Practice Address: | 220 W Bong St Ste 153 Fairchild Air Force Base, WA - 990119465 |
| Business Phone Number: | 5092474029 |
| Business Fax Number: | |
| Mailing Address: | 2602 W Parkway Dr, SPOKANE |
| State: | WA |
| Postal Code: | 992086395 |
| Phone Number: | 5099543356 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2012 |
| NPI Last Update Date: | 07/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 00009607 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |