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Individual

JORDYN CHRISTINA MACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4526 FEDERAL AVE BLDG 1, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
10115 32ND ST SE, LAKE STEVENS, WA 98258-5751
(425) 375-1800

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
06/24/2025
Last updated
06/24/2025
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