Individual
MADELYN BLACK JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSWA
Contact information
Practice address
400 S JEFFERSON ST, SPOKANE, WA 99204-3121
(509) 768-6852
Mailing address
3115 S HOWARD ST, SPOKANE, WA 99203-1749
(509) 999-0617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61563987
WA
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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