Individual
MR. LEE JASON COBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 620-5104
Mailing address
1411 BRAWNE AVE NW, OLYMPIA, WA 98502-4701
(360) 754-2241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005744
WA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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