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1346978558
SCOTT JACOBSON
SPOKANE, WA
NPI
1346978558
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO61315560)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
SCOTT JACOBSON
4305 E TRENT AVE
SPOKANE, WA 99212-1315
Phone number: 503-718-8078
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Mailing Address
SCOTT JACOBSON
4305 E TRENT AVE
SPOKANE, WA 99212-1315
Phone number: 509-795-3133
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