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1609919562
JEFF DAVID SKILLINGSTEAD
LONGVIEW, WA
NPI
1609919562
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60225625)
Enumeration Date
2007-02-14
Last Update Date
2011-12-07
Business Address
Mr. JEFF DAVID SKILLINGSTEAD MAC
1329 BROADWAY ST SUITE 200
LONGVIEW, WA 98632-3747
Phone number: 360-431-6908
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Mailing Address
Mr. JEFF DAVID SKILLINGSTEAD MAC
3650 CEDARBROOK DR
LONGVIEW, WA 98632-9507
Phone number: 360-431-6908
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