Individual
MARIA GUADALUPE JIMENEZ SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
304 MAIN AVE S STE 104, RENTON, WA 98057-2758
(571) 402-5572
Mailing address
PO BOX 128, RENTON, WA 98057-0128
(571) 402-5572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61109896
WA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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