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Individual

MR. JOHN DOUGLAS JACO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
19895 4TH AVE NE, UNIT A, POULSBO, WA 98370-7481
(425) 658-0727
Mailing address
522 WEST RIVERSIDE AVE, SUITE 4309, SPOKANE, WA 99201-0580
(888) 420-0589

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61523528
WA

Other

Enumeration date
08/01/2024
Last updated
08/01/2024
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