Individual
MS. JENNIFER JO WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4925 SE 79TH AVE, PORTLAND, OR 97206-4215
(971) 221-1749
Mailing address
4925 SE 79TH AVE, PORTLAND, OR 97206-4215
(971) 221-1749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4274
OR
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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