MATTHEW WAYNE LAWRENCE

SPOKANE, WA
NPI1053038059
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  CG61428914)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2022-10-20
Last Update Date2023-04-21
Business Address
MATTHEW WAYNE LAWRENCE
5901 N LIDGERWOOD ST
SPOKANE, WA 99208-5095
Phone number: 509-838-4651
Mailing Address
MATTHEW WAYNE LAWRENCE
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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