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1992930143
KELLY R MATT
SPOKANE, WA
NPI
1992930143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA RC60020419)
Enumeration Date
2009-05-18
Last Update Date
2009-05-18
Business Address
-- KELLY R MATT CDPT
1803 W MAXWELL AVE
SPOKANE, WA 99201-2831
Phone number: 509-325-5502
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Mailing Address
-- KELLY R MATT CDPT
1803 W MAXWELL AVE
SPOKANE, WA 99201-2831
Phone number: 509-325-5502
Copy
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