Individual
JESSICA KASTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENUE, TACOMA, WA 98431-7212
(253) 968-1110
Mailing address
8943 GRAVELLY LAKE DR SW UNIT 6, LAKEWOOD, WA 98499-3128
(360) 620-1082
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60601858
WA
Other
Enumeration date
10/06/2020
Last updated
10/08/2020
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