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Individual

BRANDEN D SYROTCHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S, PHABD

Contact information

Practice address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60917055
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG60917055
WA

Other

Enumeration date
09/03/2013
Last updated
04/06/2021
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