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1194181354
ANGELA JEFFERSON
BELLINGHAM, WA
NPI
1194181354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60336918)
Enumeration Date
2016-01-04
Last Update Date
2016-01-04
Business Address
-- ANGELA JEFFERSON
2631 MICHAEL RD # B
BELLINGHAM, WA 98226-9233
Phone number: 360-312-2422
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Mailing Address
-- ANGELA JEFFERSON
2631 MICHAEL RD # B
BELLINGHAM, WA 98226-9233
Phone number: 360-312-2422
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