JERRY BURRAGE

TACOMA, WA
NPI1871970095
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00003256)
Enumeration Date2015-04-27
Last Update Date2015-04-27
Business Address
-- JERRY BURRAGE B.T.H.
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
Mailing Address
-- JERRY BURRAGE B.T.H.
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
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