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1336704881
CRYSTAL A MOORE
SPOKANE, WA
NPI
1336704881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-05-09
Last Update Date
2019-05-09
Business Address
CRYSTAL A MOORE
812 S WALNUT ST
SPOKANE, WA 99204-3326
Phone number: 509-624-3251
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Mailing Address
CRYSTAL A MOORE
812 S WALNUT ST
SPOKANE, WA 99204-3326
Phone number: 509-624-3251
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