Individual
MISS JEANINE M DUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CM60421760
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
(425) 212-4201
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(425) 212-4201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CM60421760
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101Y00000X-COUNSLOR
—
WA
Enumeration date
11/09/2021
Last updated
01/11/2022
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