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1215374830
JEREMY JAMES WILKS
TACOMA, WA
NPI
1215374830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61350534)
Enumeration Date
2013-05-23
Last Update Date
2022-10-18
Business Address
JEREMY JAMES WILKS M.A.
223 N J ST APT 304
TACOMA, WA 98403-1960
Phone number: 913-488-3355
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Mailing Address
JEREMY JAMES WILKS M.A.
9720 S TACOMA WAY
TACOMA, WA 98499-4456
Phone number: 253-584-2170
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