Individual
JACQUELINE LE MAN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW61091615
WA
Other
Enumeration date
11/27/2017
Last updated
09/11/2023
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