Individual
CLINTON GEORGE RALPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
624 S COWLEY, SPOKANE, WA 99202
(509) 624-3227
(509) 835-4272
Mailing address
624 S COWLEY, SPOKANE, WA 99202
(509) 624-3227
(509) 835-4272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00001798
WA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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