Individual
MS. JODIE JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASW
Contact information
Practice address
1356 RIDDER PARK DR, SAN JOSE, CA 95131-2313
(408) 225-7163
Mailing address
9015 MURRAY AVE, GILROY, CA 95020-3673
(669) 304-9847
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119622
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/09/2022
Last updated
12/12/2023
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