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1669919148
PATRICE ALANA JACOB
RIDGEFIELD, WA
NPI
1669919148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60704526)
Enumeration Date
2017-01-23
Last Update Date
2020-06-04
Business Address
Dr. PATRICE ALANA JACOB Ph.D.
1361 S 15TH WAY
RIDGEFIELD, WA 98642-7826
Phone number: 360-643-9217
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Mailing Address
Dr. PATRICE ALANA JACOB Ph.D.
1361 S 15TH WAY
RIDGEFIELD, WA 98642-7826
Phone number: 360-643-9217
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