Individual
JEANGLEE TRACER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 BRIDGEPORT WAY W STE 200, UNIVERSITY PLACE, WA 98466-4846
(253) 565-1400
(253) 565-1710
Mailing address
1905 BRIDGEPORT WAY W STE 200, UNIVERSITY PLACE, WA 98466-4846
(253) 565-1400
(253) 565-1710
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00007398
WA
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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