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1235957937
SPENCER IACOLUCCI
WALLA WALLA, WA
NPI
1235957937
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61591363)
Enumeration Date
2024-10-01
Last Update Date
2024-10-01
Business Address
SPENCER IACOLUCCI
828 S 1ST AVE
WALLA WALLA, WA 99362-4003
Phone number: 509-593-8122
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Mailing Address
SPENCER IACOLUCCI
828 S 1ST AVE
WALLA WALLA, WA 99362-4003
Phone number: 509-593-8122
Copy
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