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1366179947
KRYSTAL KIM ROSE
SPOKANE, WA
NPI
1366179947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61350349)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2022-08-04
Last Update Date
2023-05-19
Business Address
KRYSTAL KIM ROSE
5901 N LIDGERWOOD ST STE 115
SPOKANE, WA 99208-1122
Phone number: 509-838-4561
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Mailing Address
KRYSTAL KIM ROSE
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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