Individual
MS. DOLORES ANN JIMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
46314 TIMINE WAY, PENDLETON, OR 97800
(307) 857-6685
(307) 857-6420
Mailing address
YELLOWHAWK TRIBAL HEALTH CENTER, 46314 TIMINE WAY, PENDLETON, OR 97801
(307) 857-6685
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-624
WY
Other
Enumeration date
11/10/2008
Last updated
08/02/2018
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