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1346754108
JEREMY WAYNE GRISHAM
EVERETT, WA
NPI
1346754108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
JEREMY WAYNE GRISHAM BA, AAC
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 206-418-8808
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Mailing Address
JEREMY WAYNE GRISHAM BA, AAC
3405 NASSAU ST
EVERETT, WA 98201-4142
Phone number: 206-418-8808
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