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1649601774
KENNETH L DAVIS
SPOKANE, WA
NPI
1649601774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA MC60412246)
Enumeration Date
2013-11-27
Last Update Date
2013-11-27
Business Address
KENNETH L DAVIS M.S.
1404 E. 11TH AVENUE
SPOKANE, WA 99202
Phone number: 509-744-1117
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Mailing Address
KENNETH L DAVIS M.S.
PO BOX 3183
SPOKANE, WA 99220
Phone number: 509-744-1117
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