Individual
JESSICA J WARMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW, CDP
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3000
Mailing address
325 9TH AVE, SEATTLE, WA 98104-2499
(206) 744-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60820024
WA
1041C0700X
Clinical Social Worker
Primary
LW60820024
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174938815
—
WA
Enumeration date
06/20/2014
Last updated
05/28/2020
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