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1700189750
JENNIFER HANSEN MADDOCK
PUYALLUP, WA
NPI
1700189750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2010-12-14
Last Update Date
2010-12-14
Business Address
-- JENNIFER HANSEN MADDOCK B.S.
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-445-8120
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Mailing Address
-- JENNIFER HANSEN MADDOCK B.S.
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-445-8120
Copy
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