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1699240762
LISA MAE AUTREY
SPOKANE, WA
NPI
1699240762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60520812)
Enumeration Date
2018-10-04
Last Update Date
2024-10-18
Business Address
LISA MAE AUTREY CDP
1321 N ASH ST
SPOKANE, WA 99201-2803
Phone number: 509-327-3120
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Mailing Address
LISA MAE AUTREY CDP
1321 N ASH ST
SPOKANE, WA 99201-2803
Phone number: 095-327-3120
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