Individual
JENNIFER SIMONE BEAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
7820 NE HOLMAN ST STE B5, PORTLAND, OR 97218-2859
(503) 258-4554
Mailing address
7820 NE HOLMAN ST STE B5, PORTLAND, OR 97218-2859
(503) 258-4554
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A11586
OR
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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