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1821563024
BETTY JANE KELLUM
SPOKANE, WA
NPI
1821563024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO6053440)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
BETTY JANE KELLUM
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 509-477-4642
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Mailing Address
BETTY JANE KELLUM
312 W 8TH AVE
SPOKANE, WA 99204-2506
Phone number: 509-477-4642
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