Individual
JACQUELINE WEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(206) 499-8623
Mailing address
9600 VETERANS DR SW, TACOMA, WA 98493-0003
(240) 923-0469
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
30455
MD
104100000X
Social Worker
B001181
NC
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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