Individual
MRS. JORDAN MAE DOBROVOLNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1014 MAIN STREET, VANCOUVER, WA 98661
(360) 695-1014
(360) 750-1374
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98661
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/08/2007
Last updated
01/06/2012
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