Individual
JENNIFER BIVONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LICSW
Contact information
Practice address
534 NE EVERETT ST STE 201, CAMAS, WA 98607-2043
(541) 316-5817
Mailing address
534 NE EVERETT ST STE 201, CAMAS, WA 98607-2043
(541) 316-5817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.013907
IL
1041C0700X
Clinical Social Worker
L7343
OR
1041C0700X
Clinical Social Worker
LW609196618
WA
Other
Enumeration date
09/03/2014
Last updated
05/30/2021
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