JAMIE LEE KELLY

SPOKANE, WA
NPI1922575257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60429390)
Enumeration Date2018-10-24
Last Update Date2021-07-06
Business Address
JAMIE LEE KELLY SUDP
1321 N ASH ST
SPOKANE, WA 99201-2803
Phone number: 509-327-3120
Mailing Address
JAMIE LEE KELLY SUDP
6225 N LACEY ST
SPOKANE, WA 99208-2443
Phone number: 509-325-6800
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