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Individual

JENNIFER GASTELUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
723 SW 10TH ST, RENTON, WA 98057-5223
(206) 461-4880
Mailing address
7304 139TH STREET CT E, PUYALLUP, WA 98373-8218
(562) 200-6067

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61513510
WA

Other

Enumeration date
05/27/2022
Last updated
03/19/2025
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