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1962555037
DWAYNE A KIDWELL
SPOKANE, WA
NPI
1962555037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH00010810)
Enumeration Date
2007-01-19
Last Update Date
2018-06-07
Business Address
MR. DWAYNE A KIDWELL MA LMHC
107 S DIVISION ST
SPOKANE, WA 99202
Phone number: 509-838-4651
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Mailing Address
MR. DWAYNE A KIDWELL MA LMHC
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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