Individual
JIMEE L ITZKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1652 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-3985
(541) 673-8060
Mailing address
1652 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-3985
(541) 673-8060
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3313
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500695418
—
OR
Enumeration date
02/02/2007
Last updated
03/28/2016
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