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1013461342
KIANDRA LISARAY JACOBSEN
SEATTLE, WA
NPI
1013461342
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60171261)
Enumeration Date
2016-08-03
Last Update Date
2016-08-03
Business Address
-- KIANDRA LISARAY JACOBSEN LICSW
314 NE THORNTON PL
SEATTLE, WA 98125-9000
Phone number: 206-528-8000
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Mailing Address
-- KIANDRA LISARAY JACOBSEN LICSW
5505 BROOKLYN AVE NE
SEATTLE, WA 98105-3517
Phone number: 206-356-8766
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