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1124592845
KATIE COURTNEY LONG
TACOMA, WA
NPI
1124592845
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Former Name
KATIE COURTNEY JOBE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
KATIE COURTNEY LONG
1305 TACOMA AVE S
TACOMA, WA 98402-1903
Phone number: 253-396-5043
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Mailing Address
KATIE COURTNEY LONG
1305 TACOMA AVE S
TACOMA, WA 98402-1903
Phone number:
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