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1386450450
COUPER TREY BALZERT
SPOKANE, WA
NPI
1386450450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61630313)
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-12-04
Last Update Date
2024-12-04
Business Address
COUPER TREY BALZERT
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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Mailing Address
COUPER TREY BALZERT
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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