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1952923955
JESSICA LARREINAGA
LAKEWOOD, WA
NPI
1952923955
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO609720165)
Enumeration Date
2020-05-12
Last Update Date
2020-05-12
Business Address
JESSICA LARREINAGA CO60972165
4928 109TH ST SW
LAKEWOOD, WA 98499-3731
Phone number: 253-473-7474
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Mailing Address
JESSICA LARREINAGA CO60972165
831 E 52ND ST
TACOMA, WA 98404-2702
Phone number: 253-590-9549
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