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1932841764
JESSICA GLORIA JOHNSON
ANACORTES, WA
NPI
1932841764
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA Co61012091)
Enumeration Date
2022-04-12
Last Update Date
2022-04-12
Business Address
JESSICA GLORIA JOHNSON SUDT
8212 S MARCH POINT RD
ANACORTES, WA 98221-8684
Phone number: 603-588-2800
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Mailing Address
JESSICA GLORIA JOHNSON SUDT
8212 S MARCH POINT RD
ANACORTES, WA 98221-8684
Phone number: 603-588-2800
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