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1811492150
JAVIER EDUARDO FREGOSO
TACOMA, WA
NPI
1811492150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60985182)
Enumeration Date
2018-03-28
Last Update Date
2020-03-09
Business Address
JAVIER EDUARDO FREGOSO MA
1148 BROADWAY STE 100
TACOMA, WA 98402-3518
Phone number: 253-597-4550
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Mailing Address
JAVIER EDUARDO FREGOSO MA
1148 BROADWAY STE 100
TACOMA, WA 98402-3518
Phone number: 253-597-4550
Copy
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