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1578127312
DEENA JO EASTERN
BELLEVUE, WA
NPI
1578127312
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Former Name
DEENA JO WAGNER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00004456)
Enumeration Date
2019-04-26
Last Update Date
2019-04-26
Business Address
DEENA JO EASTERN MS
5667 176TH PL SE
BELLEVUE, WA 98006-5936
Phone number: 425-941-1450
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Mailing Address
DEENA JO EASTERN MS
5667 176TH PL SE
BELLEVUE, WA 98006-5936
Phone number: 425-941-1450
Copy
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