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Individual

MR. JASON NORMAN SHRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SUDPT

Contact information

Practice address
17002 PACIFIC AVE S, SPANAWAY, WA 98387-8253
(253) 538-2323
(253) 538-2988
Mailing address
3404 24TH ST SE, PUYALLUP, WA 98374-1903
(425) 422-5153

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/10/2021
Last updated
08/10/2021
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