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1568921534
MEGAN NICOLE TACKES
SPOKANE, WA
NPI
1568921534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2019-03-18
Last Update Date
2019-03-18
Business Address
MEGAN NICOLE TACKES
1508 W 6TH AVE
SPOKANE, WA 99204-3409
Phone number: 509-624-5228
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Mailing Address
MEGAN NICOLE TACKES
1508 W 6TH AVE
SPOKANE, WA 99204-3409
Phone number:
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