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1861955221
KYLE TIMOTHY RICHARDSON
SPOKANE, WA
NPI
1861955221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60883401)
Enumeration Date
2019-04-11
Last Update Date
2019-04-11
Business Address
KYLE TIMOTHY RICHARDSON BS, CDPT
1321 N ASH ST
SPOKANE, WA 99201-2803
Phone number: 509-327-3120
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Mailing Address
KYLE TIMOTHY RICHARDSON BS, CDPT
1321 N ASH ST
SPOKANE, WA 99201-2803
Phone number: 509-327-3120
Copy
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