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1073948089
JESSICA V PHAM
OLYMPIA, WA
NPI
1073948089
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA MC61028307)
Enumeration Date
2013-09-10
Last Update Date
2020-11-17
Business Address
JESSICA V PHAM MHCA
3857 MARTIN WAY E
OLYMPIA, WA 98506-5268
Phone number: 360-704-7170
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Mailing Address
JESSICA V PHAM MHCA
2424 S 41ST ST APT 456
TACOMA, WA 98409-7357
Phone number: 580-471-3426
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