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1295517902
JAE S YOO
LAKEWOOD, WA
NPI
1295517902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-17
Last Update Date
2023-10-17
Business Address
JAE S YOO
9100 BRIDGEPORT WAY SW
LAKEWOOD, WA 98499-2427
Phone number: 253-302-3826
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Mailing Address
JAE S YOO
4530 82ND AVENUE CT W
UNIVERSITY PLACE, WA 98466-2300
Phone number: 253-328-1252
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