Individual
JORDYN HENGEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5019 BOARDWALK ST SE, LACEY, WA 98503-9018
(818) 624-4422
Mailing address
5019 BOARDWALK ST SE, LACEY, WA 98503-9018
(818) 624-4422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
108357
CA
Other
Enumeration date
03/05/2019
Last updated
02/05/2023
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