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1891823100
TIA RAE TAGUE
SPOKANE VALLEY, WA
NPI
1891823100
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00018360)
Additional Taxonomies
1041C0700X Social Worker Clinical
Enumeration Date
2007-02-28
Last Update Date
2023-02-24
Business Address
MRS. TIA RAE TAGUE LMP
12422 E MANSFIELD AVE APT 90
SPOKANE VALLEY, WA 99216-1167
Phone number: 509-990-6104
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Mailing Address
MRS. TIA RAE TAGUE LMP
816 W FRANCIS AVE UNIT 516
SPOKANE, WA 99205-6512
Phone number: 509-990-6104
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