Individual
MR. JASON KI PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
104 W MEEKER STE B, PUYALLUP, WA 98371-8901
(206) 992-2304
Mailing address
104 W MEEKER STE B, PUYALLUP, WA 98371-8901
(206) 992-2304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
WA
Other
Enumeration date
03/28/2018
Last updated
11/02/2022
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