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1417050527
JORDAN RAY PRINCE
EVERETT, WA
NPI
1417050527
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00044971)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- JORDAN RAY PRINCE MA
2802 BROADWAY
EVERETT, WA 98201-3642
Phone number: 425-259-3191
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Mailing Address
-- JORDAN RAY PRINCE MA
2802 BROADWAY
EVERETT, WA 98201-3642
Phone number:
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