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1184669129
JACOB JUSTIN TAYLOR
LYNNWOOD, WA
NPI
1184669129
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60149973)
Enumeration Date
2006-06-16
Last Update Date
2023-02-22
Business Address
Mr. JACOB JUSTIN TAYLOR MA, CP.
4610 200TH ST SW STE J
LYNNWOOD, WA 98036-6606
Phone number: 425-210-1093
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Mailing Address
Mr. JACOB JUSTIN TAYLOR MA, CP.
11700 MUKILTEO SPEEDWAY STE 201-1237
MUKILTEO, WA 98275-5432
Phone number: 425-210-1093
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