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1063043628
JESSICA HANSEN
SPOKANE, WA
NPI
1063043628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61119074)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-01-31
Last Update Date
2021-01-19
Business Address
JESSICA HANSEN
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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Mailing Address
JESSICA HANSEN
107 S DIVISION ST
SPOKANE, WA 99202-1510
Phone number: 509-838-4651
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