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1952573974
JEAN GANT DELASTRADA
OLYMPIA, WA
NPI
1952573974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA RC00025709)
Enumeration Date
2008-03-31
Last Update Date
2016-04-04
Business Address
MS. JEAN GANT DELASTRADA M.ED., M.A.
1516 DECATUR ST SW UNIT 130
OLYMPIA, WA 98502-5848
Phone number: 206-501-9404
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Mailing Address
MS. JEAN GANT DELASTRADA M.ED., M.A.
PO BOX 2827
OLYMPIA, WA 98507-2827
Phone number: 206-501-9404
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