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1083457493
KELLIE J. LYNNE
SPOKANE VALLEY, WA
NPI
1083457493
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61562084)
Enumeration Date
2024-06-13
Last Update Date
2024-06-13
Business Address
KELLIE J. LYNNE SUDPT
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216-1960
Phone number: 509-315-9791
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Mailing Address
KELLIE J. LYNNE SUDPT
14819 E MISSION AVE
SPOKANE VALLEY, WA 99216-1960
Phone number: 509-315-9791
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