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Individual

JAIME DI GIOVANNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LICSW, MHP

Contact information

Practice address
1115 TACOMA AVE S, TACOMA, WA 98402-2005
(253) 213-3908
Mailing address
1664 S 44TH ST, TACOMA, WA 98418-2413
(425) 466-0081

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
LW61471389
WA

Other

Enumeration date
08/28/2019
Last updated
06/13/2024
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