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1457817165
SAMANTHA JO HAWTHORNE
SPOKANE, WA
NPI
1457817165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60871550)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
SAMANTHA JO HAWTHORNE
4305 E TRENT
SPOKANE, WA 99212
Phone number: 509-424-5277
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Mailing Address
SAMANTHA JO HAWTHORNE
2916 E NORA AVE
SPOKANE, WA 99207-5354
Phone number:
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