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1427120799
JEFFREY W PACKER
COLVILLE, WA
NPI
1427120799
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA RC00044322)
Enumeration Date
2006-11-14
Last Update Date
2007-07-08
Business Address
JEFFREY W PACKER RC
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
JEFFREY W PACKER RC
912 OVERLOOK BLVD.
MARCUS, WA 99151
Phone number: 509-685-2397
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