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1851888457
JESSICA ANN RANDOCK
SPOKANE, WA
NPI
1851888457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60499946)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
JESSICA ANN RANDOCK CDP
22 S THOR ST
SPOKANE, WA 99202-4855
Phone number: 509-533-2000
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Mailing Address
JESSICA ANN RANDOCK CDP
22 S THOR ST
SPOKANE, WA 99202-4855
Phone number: 509-533-2000
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