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Organization
THAT THERAPY SPACE
Active
Organization
THAT THERAPY SPACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MICHELLE PINCELLI (PRESIDENT)
(208) 446-3220
Entity
Organization
Contact information
Practice address
23801 E APPLEWAY AVE STE 110, LIBERTY LAKE, WA 99019-9687
(321) 355-2010
Mailing address
PO BOX 322, LIBERTY LAKE, WA 99019-0322
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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