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1740409309
AMY P JACOBSEN
SHELTON, WA
NPI
1740409309
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CGC60181519)
Enumeration Date
2007-04-24
Last Update Date
2024-07-02
Business Address
AMY P JACOBSEN MA
110 W K ST
SHELTON, WA 98584-2944
Phone number: 360-426-1696
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Mailing Address
AMY P JACOBSEN MA
110 W K ST
SHELTON, WA 98584-2944
Phone number: 360-426-1696
Copy
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