Individual
JENNIFER NOELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
751 NE BLAKELY DR STE 5010, ISSAQUAH, WA 98029-6201
(425) 394-0700
(425) 394-0701
Mailing address
11804 SE 203RD ST, KENT, WA 98031-1691
(206) 304-4089
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60464125
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386053205
—
WA
Enumeration date
08/05/2014
Last updated
11/26/2019
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