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1730723172
DAVID JACKSON
LAKEWOOD, WA
NPI
1730723172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
DAVID JACKSON
9720 S TACOMA WAY
LAKEWOOD, WA 98499-4456
Phone number: 253-304-7753
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Mailing Address
DAVID JACKSON
15 OREGON AVE STE 308
TACOMA, WA 98409-7462
Phone number: 253-304-7753
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