Individual
CECELIE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 E MAGNOLIA ST, CENTRALIA, WA 98531-4445
(360) 880-0484
Mailing address
419 E MAGNOLIA ST, CENTRALIA, WA 98531-4445
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60644937
WA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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