Individual
JENNIFER M PICANSO-SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2191 MARION ST, NORTH BEND, OR 97459-2314
(541) 378-7948
Mailing address
2569 EVERETT AVE, NORTH BEND, OR 97459-2635
(559) 331-0003
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LSW0000013867
TN
Other
Enumeration date
08/24/2022
Last updated
09/28/2022
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