Individual
MS. JUDY DIANNE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
53755 E TERRA FERN DR, SANDY, OR 97055-7411
(503) 826-1063
(503) 826-1063
Mailing address
53755 E TERRA FERN DR, SANDY, OR 97055-7411
(503) 826-1063
(503) 826-1063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L371
OR
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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