Individual
JESSICA LYNN FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11315 SW 105TH PL, TIGARD, OR 97223-4198
(503) 502-2393
Mailing address
11315 SW 105TH PL, TIGARD, OR 97223-4198
(503) 502-2393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7397
OR
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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