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1275008377
JACK ALLEN WESSON
FEDERAL WAY, WA
NPI
1275008377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60456933)
Enumeration Date
2018-10-04
Last Update Date
2018-10-04
Business Address
JACK ALLEN WESSON CDP
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003-4888
Phone number: 253-941-7555
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Mailing Address
JACK ALLEN WESSON CDP
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003-4888
Phone number: 253-941-7555
Copy
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