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1083073134
MELANIE JENSEN
CLARKSTON, WA
NPI
1083073134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60498949)
Enumeration Date
2016-02-17
Last Update Date
2016-02-17
Business Address
-- MELANIE JENSEN
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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Mailing Address
-- MELANIE JENSEN
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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