Individual
JESSICA MARIE FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSWA
Contact information
Practice address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 477-0787
Mailing address
118 E 8TH ST, PORT ANGELES, WA 98362-6129
(360) 457-0431
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61217506
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/04/2019
Last updated
10/11/2021
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