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1407291826
JARED DAVID LANGTON
TUMWATER, WA
NPI
1407291826
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60145157)
Enumeration Date
2013-04-30
Last Update Date
2013-04-30
Business Address
-- JARED DAVID LANGTON
409 CUSTER WAY SE STE D
TUMWATER, WA 98501-3300
Phone number: 360-570-8258
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Mailing Address
-- JARED DAVID LANGTON
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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