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1831602598
MONIQUE RENEE JORDAN
TACOMA, WA
NPI
1831602598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60806253)
Enumeration Date
2017-11-15
Last Update Date
2017-11-15
Business Address
Mrs. MONIQUE RENEE JORDAN LMHC
1554 S GRANT AVE
TACOMA, WA 98405-3250
Phone number: 253-365-3964
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Mailing Address
Mrs. MONIQUE RENEE JORDAN LMHC
2615 19TH STREET PL SW
PUYALLUP, WA 98373-3953
Phone number: 253-365-3964
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