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1215695606
CALISTA MACKENZIE GANN
SPOKANE, WA
NPI
1215695606
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61250774)
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
CALISTA MACKENZIE GANN BEHAVIORAL SUPPORT
3910 W INDIAN TRAIL RD
SPOKANE, WA 99208-4739
Phone number: 509-559-3100
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Mailing Address
CALISTA MACKENZIE GANN BEHAVIORAL SUPPORT
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208-4736
Phone number: 509-559-3100
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