GINA MARIE JACKSON

LAKEWOOD, WA
NPI1861998155
Former NameGINA MARIE TELLEF
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-04-04
Last Update Date2018-04-04
Business Address
GINA MARIE JACKSON CMA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Mailing Address
GINA MARIE JACKSON CMA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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