Individual
MRS. JENNIFER PATRICIA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2903 SE 282ND CT, CAMAS, WA 98607-9541
(360) 818-4495
Mailing address
2903 SE 282ND CT, CAMAS, WA 98607-9541
(360) 818-4495
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60040129
WA
Other
Enumeration date
10/15/2014
Last updated
09/12/2019
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