Individual
STACY MICHELLE KEOGH GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9507 N DIVISION ST STE A, SPOKANE, WA 99218-1556
(509) 466-6632
Mailing address
17605 N KIMBERLY RD, COLBERT, WA 99005-9287
(509) 850-5323
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
03/06/2020
Last updated
03/06/2020
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