Individual
JOSE GERARDO PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW, MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61310284
WA
1041C0700X
Clinical Social Worker
Primary
5761478
ID
Other
Enumeration date
10/09/2018
Last updated
03/19/2025
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