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1194894592
SHASTA L HINCKE
COLVILLE, WA
NPI
1194894592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA RCRC00051323)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
SHASTA L HINCKE RC
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
SHASTA L HINCKE RC
827 HIGHWAY 20 EAST
COLVILLE, WA 99114
Phone number: 509-684-1297
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