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Individual

JILL KOERSELMAN SURESH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSWAIC

Contact information

Practice address
4015 NE 6TH CT, RENTON, WA 98056-3972
(509) 761-9526
Mailing address
4004 NE 4TH ST STE 107, RENTON, WA 98056-4102
(509) 761-9526

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWIA.SC.61647452
WA

Other

Enumeration date
09/30/2025
Last updated
09/30/2025
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