STACI A CORNWELL

SPOKANE, WA
NPI1538637897
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH00009735)
Enumeration Date2018-11-05
Last Update Date2018-11-05
Business Address
STACI A CORNWELL MA
711 E 3RD AVE
SPOKANE, WA 99202-2211
Phone number: 509-838-4651
Mailing Address
STACI A CORNWELL MA
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651