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1124638010
JENNAH KAY MARIE BLOSSOM
SPOKANE, WA
NPI
1124638010
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61053752)
Enumeration Date
2020-08-05
Last Update Date
2020-08-05
Business Address
JENNAH KAY MARIE BLOSSOM MC61053752
1101 W COLLEGE AVE
SPOKANE, WA 99201-2010
Phone number: 509-324-1471
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Mailing Address
JENNAH KAY MARIE BLOSSOM MC61053752
4211 S MIAMI ST
SPOKANE, WA 99223-6142
Phone number: 406-579-8190
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