Individual
JERRY IGELSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1660 S COLUMBIAN WAY, SEATTLE, WA 98108-1532
(253) 431-3842
Mailing address
9600 VETERANS DR SW BLDG 81, TACOMA, WA 98493-0003
(206) 245-9276
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW61579267
WA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/06/2022
Last updated
06/24/2025
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