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1619208378
ELIZABETH JANE SHORE
LAKEWOOD, WA
NPI
1619208378
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Former Name
ELIZABETH JANE COMBS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2010-01-20
Last Update Date
2010-01-20
Business Address
MS. ELIZABETH JANE SHORE BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
MS. ELIZABETH JANE SHORE BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Copy
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