BRIAN MIZOGUCHI

SPOKANE, WA
NPI1477828556
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WI  CP60145164)
Enumeration Date2012-03-21
Last Update Date2012-03-21
Business Address
BRIAN MIZOGUCHI CDP
5921 N MARKET ST
SPOKANE, WA 99208-2484
Phone number: 509-487-1604
Mailing Address
BRIAN MIZOGUCHI CDP
203 N WASHINGTON ST STE 300
SPOKANE, WA 99201-0233
Phone number: 509-444-8888
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