Individual
MRS. MARY DENISE JIMENEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
435 W BELL ST, SEQUIM, WA 98382-2916
(786) 303-0441
Mailing address
435 W BELL ST, SEQUIM, WA 98382-2916
(786) 303-0441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC61247937
WA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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