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Individual

ASHIA JORDANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
2330 EASTGATE ST STE 207, WALLA WALLA, WA 99362-1559
(509) 593-8122
Mailing address
4619 HALL RD, BLAINE, WA 98230-5731

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SC60954716
WA
1041C0700X
Clinical Social Worker
Primary
60949316
WA

Other

Enumeration date
05/21/2019
Last updated
04/02/2026
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