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1558488064
JENNIFER ALEXIS MAXA
VANCOUVER, WA
NPI
1558488064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-22
Last Update Date
2012-01-06
Business Address
Mrs. JENNIFER ALEXIS MAXA AAC
1014 MAIN STREET
VANCOUVER, WA 98661
Phone number: 360-695-1014
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Mailing Address
Mrs. JENNIFER ALEXIS MAXA AAC
1014 MAIN STREET
VANCOUVER, WA 98661
Phone number: 360-695-1014
Copy
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