DOMINIQUE FORTSON-JORDAN

TACOMA, WA
NPI1245768308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60597844)
Enumeration Date2017-06-01
Last Update Date2017-06-01
Business Address
DOMINIQUE FORTSON-JORDAN CDP
758 ST HELENS AVE
TACOMA, WA 98402-3706
Phone number: 253-274-0484
Mailing Address
DOMINIQUE FORTSON-JORDAN CDP
758 ST HELENS AVE
TACOMA, WA 98402-3706
Phone number:
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