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1851705214
MATT W JEFFERIS
VANCOUVER, WA
NPI
1851705214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60145018)
Enumeration Date
2014-06-13
Last Update Date
2014-06-13
Business Address
Mr. MATT W JEFFERIS
1601 E 4TH PLAIN BLVD BLDG 17 STE B222
VANCOUVER, WA 98661-3753
Phone number: 360-397-8484
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Mailing Address
Mr. MATT W JEFFERIS
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number: 360-397-8484
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