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Individual

JORDYNN MILLICENT KNOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSWA

Contact information

Practice address
1210 SW 136TH ST, BURIEN, WA 98166-1214
(206) 933-7007
Mailing address
732 11TH AVE E, APT 101, SEATTLE, WA 98102-4681
(206) 948-3910

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC 60589130
WA

Other

Enumeration date
08/21/2016
Last updated
08/21/2016
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