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1942480769
JENISE C GOGAN
PUYALLUP, WA
NPI
1942480769
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA RC00044068)
Enumeration Date
2007-11-08
Last Update Date
2010-01-14
Business Address
Ms. JENISE C GOGAN M.A.
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-697-8548
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Mailing Address
Ms. JENISE C GOGAN M.A.
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-697-8548
Copy
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