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1588877062
JACOB JOHN MATHEW
MOUNTLAKE TERRACE, WA
NPI
1588877062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY00002289)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
Dr. JACOB JOHN MATHEW PhD
6920 220TH ST SW SUITE 106
MOUNTLAKE TERRACE, WA 98043-2177
Phone number: 425-640-9777
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Mailing Address
Dr. JACOB JOHN MATHEW PhD
6920 220TH ST SW SUITE 106
MOUNTLAKE TERRACE, WA 98043-2177
Phone number: 425-640-9777
Copy
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