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1245050392
JORDAN KAMEKO HANSEN
SPOKANE, WA
NPI
1245050392
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61028173)
Enumeration Date
2024-10-14
Last Update Date
2024-10-14
Business Address
JORDAN KAMEKO HANSEN SUDP-T
44 E COZZA DR
SPOKANE, WA 99208-6514
Phone number: 509-325-6800
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Mailing Address
JORDAN KAMEKO HANSEN SUDP-T
44 E COZZA DR
SPOKANE, WA 99208-6514
Phone number: 509-325-6800
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