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1740942671
CECILIA YACOBIAN
PORT ORCHARD, WA
NPI
1740942671
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61135830)
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
CECILIA YACOBIAN SUDP-T
661 TAYLOR ST
PORT ORCHARD, WA 98366-4300
Phone number: 360-337-4625
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Mailing Address
CECILIA YACOBIAN SUDP-T
527 RADEY ST
PORT ORCHARD, WA 98366-3235
Phone number: 818-554-7243
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