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1740383322
JANEEN PROVAZEK
GIG HARBOR, WA
NPI
1740383322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: WA LF00001337)
Enumeration Date
2006-09-07
Last Update Date
2007-07-08
Business Address
-- JANEEN PROVAZEK MA
5800 SOUND VIEW DR STE 101-D
GIG HARBOR, WA 98335-2077
Phone number: 253-851-6178
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Mailing Address
-- JANEEN PROVAZEK MA
5800 SOUND VIEW DR STE 101-D
GIG HARBOR, WA 98335-2077
Phone number: 253-851-6178
Copy
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