Individual
JESSICA MARIE VAN BOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
316 W BOONE AVE STE 850, SPOKANE, WA 99201-2353
(208) 494-2251
Mailing address
316 W BOONE AVE STE 850, SPOKANE, WA 99201-2353
(208) 494-2251
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61231526
WA
Other
Enumeration date
07/13/2023
Last updated
05/08/2024
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