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1669943395
SHIRLENE KELLY SHIRLEY
SPOKANE, WA
NPI
1669943395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP60081248)
Enumeration Date
2018-12-06
Last Update Date
2022-10-04
Business Address
MS. SHIRLENE KELLY SHIRLEY SUDP
3710 N MONROE ST. RIVERSIDE RECOVERY CENTER
SPOKANE, WA 99205
Phone number: 509-328-5234
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Mailing Address
MS. SHIRLENE KELLY SHIRLEY SUDP
12715 E MISSION AVE
SPOKANE VALLEY, WA 99216-1027
Phone number: 509-323-5766
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