Individual
JACQUELINE REYES CARRANZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
380 CHASE AVE, WALLA WALLA, WA 99362-2924
(509) 897-8600
(509) 897-5872
Mailing address
101 KENWOOD ST APT 108, WALLA WALLA, WA 99362-1627
(509) 540-8292
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SA61600768
WA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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