Individual
JACOB MAZUR-WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SWAICL
Contact information
Practice address
1345 22ND ST NE, AUBURN, WA 98002-3442
(253) 833-5908
Mailing address
1345 22ND ST NE, AUBURN, WA 98002-3442
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61256451
WA
Other
Enumeration date
04/08/2022
Last updated
04/08/2022
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