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1891464574
JAMILLAH DECIANNE
PORT TOWNSEND, WA
NPI
1891464574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-09-07
Last Update Date
2022-01-06
Business Address
JAMILLAH DECIANNE
884 W PARK AVE
PORT TOWNSEND, WA 98368-2273
Phone number: 360-385-0321
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Mailing Address
JAMILLAH DECIANNE
PO BOX 565
PORT TOWNSEND, WA 98368-0565
Phone number: 360-385-0458
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