Individual
BEAU RYAN MACARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 W 8TH AVE, SPOKANE, WA 99204-2506
(509) 477-4382
Mailing address
312 W 8TH AVE, SPOKANE, WA 99204-2506
(509) 477-4382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60154954
WA
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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