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1528656246
SHAUNA SPRAGUE
KELSO, WA
NPI
1528656246
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61105885)
Enumeration Date
2021-01-07
Last Update Date
2021-01-07
Business Address
SHAUNA SPRAGUE SUDP-T
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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Mailing Address
SHAUNA SPRAGUE SUDP-T
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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