Individual
JAMIE KAUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
315 MLK JR., TACOMA, WA 98405, TACOMA, WA 98415
(253) 403-1794
Mailing address
1350 N SKYLINE DR, TACOMA, WA 98406-1826
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00006651
WA
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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