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1104486158
JODI MARIE YOUNGQUIST
PUYALLUP, WA
NPI
1104486158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60881855)
Enumeration Date
2019-06-20
Last Update Date
2019-06-20
Business Address
JODI MARIE YOUNGQUIST LMHCA
11102 SUNRISE BLVD E STE 100
PUYALLUP, WA 98374-8846
Phone number: 253-205-5807
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Mailing Address
JODI MARIE YOUNGQUIST LMHCA
1911 19TH ST SE
PUYALLUP, WA 98372-7123
Phone number: 253-205-5807
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