Individual
JENNY GARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
753 N 35TH ST, OFFICE 304, SEATTLE, WA 98103-8870
(206) 634-1642
Mailing address
753 N 35TH ST, OFFICE 304, SEATTLE, WA 98103-8870
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004993
WA
Other
Enumeration date
11/05/2006
Last updated
07/08/2007
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