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1679038590
JESSICA C GREEN
SPOKANE, WA
NPI
1679038590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60145155)
Enumeration Date
2019-02-05
Last Update Date
2019-02-05
Business Address
JESSICA C GREEN CDP
44 E COZZA DR
SPOKANE, WA 99208-6514
Phone number: 509-325-6800
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Mailing Address
JESSICA C GREEN CDP
44 E COZZA DR
SPOKANE, WA 99208-6514
Phone number: 509-325-6800
Copy
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