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1053075242
JACLYN J SMITH
TUMWATER, WA
NPI
1053075242
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61227019)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
JACLYN J SMITH
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6867
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Mailing Address
JACLYN J SMITH
1013 COMMERCIAL ST
RAYMOND, WA 98577
Phone number: 503-791-0096
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