SHANE ANDREW SKINNER

KELSO, WA
NPI1962979724
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60688887)
Enumeration Date2018-10-30
Last Update Date2018-10-30
Business Address
Mr. SHANE ANDREW SKINNER CDP
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
Mailing Address
Mr. SHANE ANDREW SKINNER CDP
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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