Individual
MR. JASON JAMES NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
529 JASMINE ST, OMAK, WA 98841-9589
(509) 826-1600
Mailing address
529 JASMINE ST, OMAK, WA 98841-9589
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61251876
WA
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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