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Individual

JAMIE BRUBAKER MCCONNELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MHP

Contact information

Practice address
4215 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-7538
(206) 979-4421
Mailing address
4215 OLYMPIC BLVD W, UNIVERSITY PLACE, WA 98466-7538
(206) 979-4421

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61453627
WA
1041C0700X
Clinical Social Worker
SC60777491
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LW61453627
DEPARTMENT OF HEALTH
WA
Enumeration date
04/06/2022
Last updated
07/15/2024
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