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Individual

GRACE HOINOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
305 PACIFIC AVE S, KELSO, WA 98626-1638
(360) 423-0203
(360) 577-7904
Mailing address
PO BOX 1847, LONGVIEW, WA 98632-8140
(360) 423-0203
(360) 577-0269

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60882854
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2111581
WA
Enumeration date
09/25/2018
Last updated
11/21/2019
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