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1205072774
JACQUELYN SUE BOATMAN
LAKEWOOD, WA
NPI
1205072774
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Former Name
JACQUELYN SUE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC60036149)
Enumeration Date
2009-01-05
Last Update Date
2009-01-05
Business Address
Mrs. JACQUELYN SUE BOATMAN BS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
Mrs. JACQUELYN SUE BOATMAN BS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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