Individual
JENNIFER A. LAVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4245 ROOSEVELT WAY, BOX 354780, SEATTLE, WA 98195-0001
(206) 598-4370
(206) 598-6333
Mailing address
PO BOX 24366, PFS, SEATTLE, WA 98124-0366
(206) 598-0502
(206) 598-0516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004088
WA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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