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Individual

DR. JESSICA RAE HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1949 S STATE ST, TACOMA, WA 98405-2818
(253) 328-3507
(253) 761-7577
Mailing address
4349 NETTLE DR SE, PORT ORCHARD, WA 98366-5557
(940) 249-6935

Taxonomy

Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
3486
OR
103TF0200X
Forensic Psychologist
Primary
PY61170219
WA

Other

Enumeration date
01/29/2024
Last updated
01/29/2024
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