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1972039873
EILEEN JACOBSON
SPOKANE VALLEY, WA
NPI
1972039873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA cp00003047)
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
-- EILEEN JACOBSON CP00003047
15407 E MISSION AVE STE 100
SPOKANE VALLEY, WA 99037-8527
Phone number: 509-927-1543
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Mailing Address
-- EILEEN JACOBSON CP00003047
PO BOX 4627
SPOKANE, WA 99220-0627
Phone number: 509-927-1543
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