Individual
JOURDAN SPENCER CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
904 7TH AVE, SEATTLE, WA 98104-1132
(206) 860-4588
Mailing address
1451 NE PARK DR, ISSAQUAH, WA 98029-8909
(425) 890-9259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60979431
WA
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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