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1972841302
TINA MARIE JESSE
TACOMA, WA
NPI
1972841302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60089496)
Enumeration Date
2013-01-18
Last Update Date
2013-01-18
Business Address
-- TINA MARIE JESSE
1516 S 11TH ST
TACOMA, WA 98405-3332
Phone number: 253-396-1634
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Mailing Address
-- TINA MARIE JESSE
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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