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1851827240
JADE NICOLE SHAW
TACOMA, WA
NPI
1851827240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2017-05-04
Last Update Date
2018-12-07
Business Address
JADE NICOLE SHAW
1001 N J ST
TACOMA, WA 98403-2125
Phone number: 253-830-6242
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Mailing Address
JADE NICOLE SHAW
7610 40TH ST W STE 300
UNIVERSITY PLACE, WA 98466-3834
Phone number: 253-830-6242
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