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Individual

JEFFREY YELLOW OWL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
217 S TOPPENISH AVE, POB 151, TOPPENISH, WA 98948-1780
(509) 865-5121
(509) 865-2064
Mailing address
217 S TOPPENISH AVE, POB 151, TOPPENISH, WA 98948-1780
(509) 865-5121
(509) 865-2064

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60290931
WA

Other

Enumeration date
02/04/2016
Last updated
02/04/2016
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