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Organization

CUP OF COOL WATER

Active
Other names
CUP OF COOL WATER
Organization subpart
No

Provider details

NPI number
Authorized official
BLAKE RANDOLPH WALTMAN (EXECUTIVE DIRECTOR)
(509) 747-6686
Entity
Organization

Contact information

Practice address
1106 W 2ND AVE, SPOKANE, WA 99201-4506
(509) 747-6686
Mailing address
1106 W 2ND AVE, SPOKANE, WA 99201-4506
(509) 747-6686

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
03/16/2022
Last updated
03/16/2022
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