Individual
MRS. JENNIFER MAYS SUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
105 W 8TH AVE STE 418C, SPOKANE, WA 99204-2318
(509) 474-6920
(509) 474-6921
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW60003650
WA
1041C0700X
Clinical Social Worker
Primary
LW00007585
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010145071
BLUE SHIELD OF IDAHO
WA
01
—
310049
MANAGED HEALTH NETWORK
WA
01
—
4952MA
ASURIS NORTHWEST HEALTH
WA
01
—
91056495299201.A015
TRIWEST
WA
Enumeration date
10/03/2006
Last updated
03/19/2020
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