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1154197879
DAVID MICHAEL FITZGERALD
SPOKANE VALLEY, WA
NPI
1154197879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61488791)
Enumeration Date
2023-12-04
Last Update Date
2023-12-04
Business Address
DAVID MICHAEL FITZGERALD SUDPT
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216-1027
Phone number: 509-232-5766
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Mailing Address
DAVID MICHAEL FITZGERALD SUDPT
5020 N ADDISON ST
SPOKANE, WA 99207-1521
Phone number: 509-413-9150
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