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1275188237
JACQUELYN VILLASENOR
PUYALLUP, WA
NPI
1275188237
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60994905)
Enumeration Date
2019-08-07
Last Update Date
2020-10-13
Business Address
JACQUELYN VILLASENOR
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
JACQUELYN VILLASENOR
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
Copy
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