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1881365203
JACK MICHAEL MCNERTHNEY
TACOMA, WA
NPI
1881365203
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO61210539)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
JACK MICHAEL MCNERTHNEY
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
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Mailing Address
JACK MICHAEL MCNERTHNEY
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number:
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