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1194250308
SUE MARIE HERNANDEZ
SPOKANE, WA
NPI
1194250308
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO 60319946)
Enumeration Date
2017-04-25
Last Update Date
2017-04-25
Business Address
SUE MARIE HERNANDEZ
701 E 3RD AVE
SPOKANE, WA 99202-6014
Phone number: 509-838-6092
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Mailing Address
SUE MARIE HERNANDEZ
701 E 3RD AVE
SPOKANE, WA 99202-6014
Phone number: 509-838-6092
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