Individual
JESSICA CHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW INTERN
Contact information
Practice address
222 WALL ST, SEATTLE, WA 98121-1431
(206) 441-4304
Mailing address
222 WALL ST, SEATTLE, WA 98121-1431
(206) 441-4304
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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