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1093470585
RAVEN JAVA-MCCANDLESS
SPOKANE, WA
NPI
1093470585
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
101Y00000X Counselor
(Licence: WA CG61329704)
Enumeration Date
2021-11-01
Last Update Date
2024-07-24
Business Address
RAVEN JAVA-MCCANDLESS
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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Mailing Address
RAVEN JAVA-MCCANDLESS
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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