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1144792292
DAVID JONATHAN MUCKLEY
SPOKANE VALLEY, WA
NPI
1144792292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60790705)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
DAVID JONATHAN MUCKLEY CDP
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216-1027
Phone number: 509-232-5766
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Mailing Address
DAVID JONATHAN MUCKLEY CDP
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216-1027
Phone number: 509-232-5766
Copy
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