Individual
JENNIFER KIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
222 E INDIANA AVE, SPOKANE, WA 99207-2318
(509) 329-2726
Mailing address
3409 S TEKOA ST, SPOKANE, WA 99203-2641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW 00007918
WA
Other
Enumeration date
01/07/2011
Last updated
01/07/2011
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