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1275002651
MICHAEL GORDON SKILLINGSTAD
SPOKANE, WA
NPI
1275002651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
(Licence: WA CG60700626)
Enumeration Date
2018-11-15
Last Update Date
2024-04-25
Business Address
MICHAEL GORDON SKILLINGSTAD MA
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208-1122
Phone number: 509-838-4651
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Mailing Address
MICHAEL GORDON SKILLINGSTAD MA
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4650
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