JACQUELINE LICEA

TACOMA, WA
NPI1831738160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: WA  MFTA.MG.61408457)
Enumeration Date2020-01-03
Last Update Date2023-03-04
Business Address
JACQUELINE LICEA
6845 S ALDER ST
TACOMA, WA 98409-5213
Phone number: 253-267-0085
Mailing Address
JACQUELINE LICEA
PO BOX 111780
TACOMA, WA 98411-1780
Phone number: 253-267-0085
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