Individual
JANELLE RENAE DITTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1112 S 5TH ST, TACOMA, WA 98405-3742
(253) 403-4542
Mailing address
3802 N PROCTOR ST, TACOMA, WA 98407-5731
(253) 686-3344
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61147653
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/16/2020
Last updated
09/20/2024
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