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1538637897
STACI A CORNWELL
SPOKANE, WA
NPI
1538637897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00009735)
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
STACI A CORNWELL MA
711 E 3RD AVE
SPOKANE, WA 99202-2211
Phone number: 509-838-4651
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Mailing Address
STACI A CORNWELL MA
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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