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1063069532
ALBERT AGUSTAV STALEY
SPOKANE, WA
NPI
1063069532
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61402028)
Enumeration Date
2019-08-20
Last Update Date
2023-02-08
Business Address
ALBERT AGUSTAV STALEY BS, LMHC-A
3707 W LONGFELLOW AVE
SPOKANE, WA 99205-1852
Phone number: 509-312-7482
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Mailing Address
ALBERT AGUSTAV STALEY BS, LMHC-A
3707 W LONGFELLOW AVE
SPOKANE, WA 99205-1852
Phone number: 509-312-7482
Copy
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