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1932726262
JAKAI SHAKOOR CAVNESS
TUMWATER, WA
NPI
1932726262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA na60868465)
Enumeration Date
2020-07-02
Last Update Date
2020-07-02
Business Address
JAKAI SHAKOOR CAVNESS
3285 FERGUSON ST SW
TUMWATER, WA 98512
Phone number: 360-943-1907
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Mailing Address
JAKAI SHAKOOR CAVNESS
3285 FERGUSON ST SW
TUMWATER, WA 98512
Phone number:
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