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1518796945
JOHN DOUGLAS JACO
POULSBO, WA
NPI
1518796945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW61523528)
Enumeration Date
2024-08-01
Last Update Date
2024-08-01
Business Address
Mr. JOHN DOUGLAS JACO LICSW
19895 4TH AVE NE UNIT A
POULSBO, WA 98370-7481
Phone number: 425-658-0727
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Mailing Address
Mr. JOHN DOUGLAS JACO LICSW
522 WEST RIVERSIDE AVE SUITE 4309
SPOKANE, WA 99201-0580
Phone number: 888-420-0589
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