Individual
JAYLAH DANIELLE PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4001 N COOK ST # 420, SPOKANE, WA 99207-5879
(509) 747-4174
Mailing address
2903 W SINTO AVE, SPOKANE, WA 99201-3030
(575) 740-4223
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CG61355829
WA
104100000X
Social Worker
M-11357
NM
104100000X
Social Worker
Primary
X-11571
NM
Other
Enumeration date
07/21/2020
Last updated
09/08/2022
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