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1811473036
JANICE LYNNE JEPSEN
TACOMA, WA
NPI
1811473036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60068237)
Enumeration Date
2018-07-11
Last Update Date
2018-07-11
Business Address
JANICE LYNNE JEPSEN
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-3576
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Mailing Address
JANICE LYNNE JEPSEN
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-3576
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