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1760920664
DAVID JENSEN
SHELTON, WA
NPI
1760920664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60721954)
Enumeration Date
2017-02-10
Last Update Date
2017-02-10
Business Address
-- DAVID JENSEN cdpt
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number: 360-426-0890
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Mailing Address
-- DAVID JENSEN cdpt
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number:
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