Individual
MS. NICHOLE L JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5991 BELL ST SE, TUMWATER, WA 98501-5355
(435) 213-3583
Mailing address
5991 BELL ST SE, TUMWATER, WA 98501-5355
(435) 213-3583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
8977595-3501
UT
1041C0700X
Clinical Social Worker
Primary
LW61179889
WA
Other
Enumeration date
06/17/2016
Last updated
08/19/2022
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