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Individual

CRYSTAL JANE ANDREWS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
628 S COWLEY ST, SPOKANE, WA 99202-1377
(509) 624-3227
Mailing address
628 S. COWLEY ST., SPOKANE, WA 99202
(509) 624-3227

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
CO60717035
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO60717035
WASHINGTON STATE REGISTRATION
WA
Enumeration date
09/15/2017
Last updated
07/21/2022
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