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1023891355
LUCIA HUMPHREY VANDERWOLK
SPOKANE, WA
NPI
1023891355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA G61480723)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2023-08-18
Last Update Date
2023-10-23
Business Address
LUCIA HUMPHREY VANDERWOLK
2102 E SPRAGUE AVE
SPOKANE, WA 99202-3125
Phone number: 509-838-4651
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Mailing Address
LUCIA HUMPHREY VANDERWOLK
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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