Individual
MS. JACQUELINE SHEA VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
25227 161ST PL SE, COVINGTON, WA 98042-4127
(253) 409-8803
Mailing address
PO BOX 7131, COVINGTON, WA 98042-0041
(253) 409-8803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCS#20378
CA
Other
Enumeration date
01/27/2007
Last updated
02/22/2022
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