Individual
KIMBERLE JEANNE YKEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-7891
(360) 452-8087
Mailing address
933 E 1ST ST, PORT ANGELES, WA 98362-4012
(360) 452-7891
(360) 452-8087
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW60816188
WA
1041C0700X
Clinical Social Worker
LW60816188
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2097082
—
WA
Enumeration date
03/05/2018
Last updated
10/31/2023
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