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1861150245
JOHNNA RAE WACHOLTZ
SPOKANE, WA
NPI
1861150245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC61230425)
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
JOHNNA RAE WACHOLTZ
1124 W RIVERSIDE AVE STE LL2
SPOKANE, WA 99201-1132
Phone number: 509-994-4518
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Mailing Address
JOHNNA RAE WACHOLTZ
1124 W RIVERSIDE AVE # LL2
SPOKANE, WA 99201-1132
Phone number: 509-994-4518
Copy
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