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12109 E Broadway Ave # C-2 Spokane Valley WA 99206-6133 | |
(509) 818-8744 | |
Not Available |
Full Name | |
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Speciality | Counselor |
Location | 12109 E Broadway Ave # C-2, Spokane Valley, Washington |
Authorized Official Name and Position | Maggie Inge (OWNER) |
Authorized Official Contact | 5098188744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2716 S Seabiscuit Dr Spokane Valley WA 99037-5108 Ph: (509) 280-2290 | 12109 E Broadway Ave # C-2 Spokane Valley WA 99206-6133 Ph: (509) 818-8744 |
NPI Number | 1942958632 |
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Provider Enumeration Date | 03/12/2022 |
Last Update Date | 04/04/2022 |
Certification Date | 04/04/2022 |
Identifier | Type | State | Issuer |
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1942958632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101Y00000X | Counselor | (* (Not Available)) | Primary |
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