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1316305972
JASON LEWIS
TACOMA, WA
NPI
1316305972
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00006201)
Enumeration Date
2016-02-10
Last Update Date
2016-02-10
Business Address
Mr. JASON LEWIS CDP
1016 SO 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-593-2844
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Mailing Address
Mr. JASON LEWIS CDP
1016 SO 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-593-2844
Copy
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