DOMINIQUE JORDAN

LAKEWOOD, WA
NPI1487167789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2017-11-08
Last Update Date2017-11-08
Business Address
DOMINIQUE JORDAN BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Mailing Address
DOMINIQUE JORDAN BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number:
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