Individual
SHANDRA PAULINE SPRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO61511121
Contact information
Practice address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(360) 477-4790
Mailing address
825 E 5TH ST, PORT ANGELES, WA 98362-3818
(360) 477-4790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61511121
WA
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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