Individual
JODI CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
17719 131ST ST E, BONNEY LAKE, WA 98391-4524
(253) 719-2592
Mailing address
17719 131ST ST E, BONNEY LAKE, WA 98391-4524
(253) 719-2592
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60973153
WA
Other
Enumeration date
11/05/2018
Last updated
06/17/2022
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