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1568004885
JENNIFER JANICE BOGGS
TACOMA, WA
NPI
1568004885
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60905974)
Enumeration Date
2019-10-09
Last Update Date
2019-10-09
Business Address
Ms. JENNIFER JANICE BOGGS SUDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-4618
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Mailing Address
Ms. JENNIFER JANICE BOGGS SUDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-4618
Copy
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