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1598572612
JONATHAN MICAH DAMBACHER
AUBURN, WA
NPI
1598572612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61632144)
Enumeration Date
2024-12-12
Last Update Date
2024-12-12
Business Address
JONATHAN MICAH DAMBACHER SUDP-T
3320 AUBURN WAY N
AUBURN, WA 98002-1805
Phone number: 253-999-5731
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Mailing Address
JONATHAN MICAH DAMBACHER SUDP-T
3320 AUBURN WAY N
AUBURN, WA 98002-1805
Phone number: 253-999-5731
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