Individual
JAMES T. DEDEAUX JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
510 E AMENDE DR, ODESSA, WA 99159-7003
(228) 218-5324
Mailing address
PO BOX 843, ODESSA, WA 99159-0843
(228) 218-5324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C4478
MS
1041C0700X
Clinical Social Worker
Primary
LW60980572
WA
Other
Enumeration date
10/02/2007
Last updated
08/17/2023
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