Individual
JENNI REBECCA BARTLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
311 S L ST, TACOMA, WA 98405-3720
(253) 380-5036
Mailing address
3805 16TH AVENUE CT NW, GIG HARBOR, WA 98335-1670
(253) 380-5036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW60777178
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60777178
—
WA
05
—
LW6077178
—
WA
Enumeration date
04/05/2018
Last updated
04/05/2018
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