JILLIAN T FOX

TUMWATER, WA
NPI1740045822
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO61351574)
Enumeration Date2024-02-16
Last Update Date2024-02-16
Business Address
JILLIAN T FOX
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6867
Mailing Address
JILLIAN T FOX
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6867
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