Individual
MS. JENNIFER A.L. BAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LW60694899
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, MS: 315-C4-CHF, TACOMA, WA 98405
(253) 403-1408
(253) 403-4591
Mailing address
315 MARTIN LUTHER KING JR WAY, MS: 315-C4-CHF, TACOMA, WA 98405
(253) 403-1408
(253) 403-4591
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SC60364820
WA
1041C0700X
Clinical Social Worker
Primary
LW60694899
WA
Other
Enumeration date
12/12/2014
Last updated
03/07/2018
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