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1174091110
MICHELLE N JAQUISH
FIRCREST, WA
NPI
1174091110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW61115906)
Enumeration Date
2018-11-07
Last Update Date
2025-01-13
Business Address
MICHELLE N JAQUISH LICSW
6314 19TH ST W STE 7
FIRCREST, WA 98466-6223
Phone number: 601-206-8735
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Mailing Address
MICHELLE N JAQUISH LICSW
6314 19TH ST W STE 7
FIRCREST, WA 98466-6223
Phone number: 601-206-8735
Copy
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