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4103 N Normandie St Spokane WA 99205-1045 | |
| (509) 208-3596 | |
| (509) 596-0059 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4103 N Normandie St, Spokane, Washington |
| Authorized Official Name and Position | Nicholas Lee (OWNER/COUNSELOR) |
| Authorized Official Contact | 5092089635 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
4103 N Normandie St Spokane WA 99205-1045 Ph: () - | 4103 N Normandie St Spokane WA 99205-1045 Ph: (509) 208-3596 |
| NPI Number | 1316669872 |
|---|---|
| Provider Enumeration Date | 09/13/2022 |
| Last Update Date | 09/28/2024 |
| Certification Date | 09/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316669872 | NPI | - | NPPES |
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