JACKIE LEE FORD

SPOKANE, WA
NPI1568937795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-10-03
Last Update Date2018-10-03
Business Address
JACKIE LEE FORD CDP
4324 N JEFFERSON ST
SPOKANE, WA 99205-1209
Phone number: 509-315-8682
Mailing Address
JACKIE LEE FORD CDP
4324 N JEFFERSON ST
SPOKANE, WA 99205-1209
Phone number: 509-315-8682
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