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1013225523
JEFFREY ALLEN CASEBOLT
LAKEWOOD, WA
NPI
1013225523
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-09-17
Last Update Date
2010-09-17
Business Address
Mr. JEFFREY ALLEN CASEBOLT MA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
Mr. JEFFREY ALLEN CASEBOLT MA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Copy
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