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1124355466
JEREMIAH THUNDERWALKER SAUCIER
TACOMA, WA
NPI
1124355466
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO60117863)
Enumeration Date
2009-11-06
Last Update Date
2022-04-12
Business Address
MR. JEREMIAH THUNDERWALKER SAUCIER SUDP
8717 S HOSMER ST
TACOMA, WA 98444-1819
Phone number: 253-473-7474
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Mailing Address
MR. JEREMIAH THUNDERWALKER SAUCIER SUDP
8717 S HOSMER ST
TACOMA, WA 98444-1819
Phone number: 253-473-7474
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