DOMINIC MARCILLA

SPOKANE, WA
NPI1144784737
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60930415)
Enumeration Date2019-01-28
Last Update Date2019-01-28
Business Address
DOMINIC MARCILLA CO60930415
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 509-315-9791
Mailing Address
DOMINIC MARCILLA CO60930415
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 509-315-9791
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