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1457828774
JESSICA RAY PORTER
PUYALLUP, WA
NPI
1457828774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP61010502)
Enumeration Date
2018-10-24
Last Update Date
2019-11-20
Business Address
JESSICA RAY PORTER
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
JESSICA RAY PORTER
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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