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1487360822
DESTINY JADE FONSECA
SPOKANE, WA
NPI
1487360822
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
DESTINY JADE FONSECA
210 W SPRAGUE AVE
SPOKANE, WA 99201-3627
Phone number: 509-747-8224
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Mailing Address
DESTINY JADE FONSECA
210 W SPRAGUE AVE
SPOKANE, WA 99201-3627
Phone number:
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