Individual
MS. JESSICA VINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, OSW-C
Contact information
Practice address
706 COLUMBIA ST, HOOD RIVER, OR 97031-1720
(541) 399-5774
Mailing address
706 COLUMBIA ST, HOOD RIVER, OR 97031-1720
(541) 399-5774
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L5473
OR
Other
Enumeration date
11/19/2015
Last updated
09/21/2016
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