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1598819567
BRUCE E JACKSON
GIG HARBOR, WA
NPI
1598819567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH00011181)
Enumeration Date
2007-01-23
Last Update Date
2021-04-13
Business Address
BRUCE E JACKSON MA
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335-8392
Phone number: 253-858-7056
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Mailing Address
BRUCE E JACKSON MA
6625 WAGNER WAY STE 320
GIG HARBOR, WA 98335-8392
Phone number: 253-858-7056
Copy
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