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Individual

MRS. ANGELA M DEVINE I

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
2308 W 3RD AVE, SPOKANE, WA 99201-5810
(509) 624-1244
Mailing address
2308 W 3RD AVE, SPOKANE, WA 99201-5810
(509) 624-1244
(509) 624-6240

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60980687
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60684760
WA

Other

Enumeration date
11/13/2017
Last updated
09/20/2024
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