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Individual

TAKINA LARENE BORDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDPT

Contact information

Practice address
3710 N MONROE ST, SPOKANE, WA 99205-2850
(509) 328-5234
Mailing address
3710 N MONROE ST, SPOKANE, WA 99205-2850
(509) 328-5234

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60828265
WA

Other

Enumeration date
09/13/2018
Last updated
10/22/2018
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