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1285119164
JACKIE A LOPEZ
OLYMPIA, WA
NPI
1285119164
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WA MG60892513)
Enumeration Date
2018-09-26
Last Update Date
2019-06-11
Business Address
JACKIE A LOPEZ
2708 WESTMOOR CT SW
OLYMPIA, WA 98502-5754
Phone number: 360-943-8810
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Mailing Address
JACKIE A LOPEZ
2708 WESTMOOR CT SW
OLYMPIA, WA 98502-5754
Phone number:
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