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1821445974
JAMIS ROOSE
ABERDEEN, WA
NPI
1821445974
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60318179)
Enumeration Date
2016-05-18
Last Update Date
2016-05-18
Business Address
-- JAMIS ROOSE CDPT
1813 SUMNER AVE
ABERDEEN, WA 98520-4600
Phone number: 360-538-1461
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Mailing Address
-- JAMIS ROOSE CDPT
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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