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1336769371
LISA ELAINE JORDAN
CENTRALIA, WA
NPI
1336769371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG61067579)
Enumeration Date
2020-04-20
Last Update Date
2024-04-03
Business Address
LISA ELAINE JORDAN
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
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Mailing Address
LISA ELAINE JORDAN
3510 STEELHAMMER DR
CENTRALIA, WA 98531-4551
Phone number: 360-623-8020
Copy
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