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1285134239
CAROLYN SUE LEIST
SPOKANE, WA
NPI
1285134239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
CAROLYN SUE LEIST CDP
518 S BROWNE ST
SPOKANE, WA 99204-2315
Phone number: 509-456-5465
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Mailing Address
CAROLYN SUE LEIST CDP
PO BOX 4627
SPOKANE, WA 99220-0627
Phone number: 509-456-5465
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