QUINCY T JEFFERSON

KIRKLAND, WA
NPI1780155341
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP6051684)
Enumeration Date2018-12-07
Last Update Date2018-12-07
Business Address
QUINCY T JEFFERSON CDP
10322 NE 132ND STREET
KIRKLAND, WA 98034-9803
Phone number: 425-823-3116
Mailing Address
QUINCY T JEFFERSON CDP
10322 NE 132ND STREET
KIRKLAND, WA 98034
Phone number:
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