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1285248674
JESSICA PENDERGAST
TACOMA, WA
NPI
1285248674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-09-02
Last Update Date
2020-09-02
Business Address
JESSICA PENDERGAST
5929 WESTGATE BLVD STE A
TACOMA, WA 98406-2567
Phone number: 253-503-0226
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Mailing Address
JESSICA PENDERGAST
15 OREGON AVE STE 308
TACOMA, WA 98409-7462
Phone number: 253-304-7753
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