Individual
JORDAN SI DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
7100 FORT DENT WAY, TUKWILA, WA 98188-7500
(206) 708-7274
Mailing address
748 MARKET ST # 136, TACOMA, WA 98402-3737
(719) 338-6131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09926943
CO
1041C0700X
Clinical Social Worker
Primary
LW61254381
WA
Other
Enumeration date
06/09/2017
Last updated
04/13/2022
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