Individual
MR. JAVAN PHILLIP OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
MADIGAN ARMY MEDICAL CTR, 9040 A REID ST, TACOMA, WA 98431-0001
(253) 968-1110
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 A REID ST, TACOMA, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149007865
IL
1041C0700X
Clinical Social Worker
LC302726
DC
Other
Enumeration date
07/28/2009
Last updated
08/25/2010
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