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1174001341
JESSICA SUE ROSE DILLMAN
LAKEWOOD, WA
NPI
1174001341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 80-0461504)
Enumeration Date
2018-07-31
Last Update Date
2018-07-31
Business Address
MISS JESSICA SUE ROSE DILLMAN CO60579677
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-503-3666
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Mailing Address
MISS JESSICA SUE ROSE DILLMAN CO60579677
3800 3RD ST SE
PUYALLUP, WA 98374-1109
Phone number: 253-200-0300
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