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1023762556
JAIME MARIE EDWARDS
PORT ANGELES, WA
NPI
1023762556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA C061247586)
Enumeration Date
2022-02-03
Last Update Date
2022-02-03
Business Address
JAIME MARIE EDWARDS SUDPT
806 S VINE ST
PORT ANGELES, WA 98362-7982
Phone number: 360-452-2443
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Mailing Address
JAIME MARIE EDWARDS SUDPT
916 E 4TH ST
PORT ANGELES, WA 98362-4109
Phone number: 360-982-1682
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