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1265153464
AUGUSTUS JAMES WAY
SPOKANE, WA
NPI
1265153464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61520221)
Enumeration Date
2022-09-06
Last Update Date
2024-05-30
Business Address
AUGUSTUS JAMES WAY SUDPT, MA
22 S THOR ST
SPOKANE, WA 99202-4855
Phone number: 509-532-2000
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Mailing Address
AUGUSTUS JAMES WAY SUDPT, MA
1090 W BETZ RD APT 25208
CHENEY, WA 99004-5288
Phone number: 509-430-2154
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