Individual
CYNTHIA JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELORS
Contact information
Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 425-8679
Mailing address
PO BOX 403, LONGVIEW, WA 98632-7260
(360) 425-8679
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313
—
WA
Enumeration date
10/14/2014
Last updated
10/14/2014
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