Individual
JENNIE JORGENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
250 W MARQUAM ST, MOUNT ANGEL, OR 97362-9520
(971) 983-5214
Mailing address
250 W MARQUAM ST, MOUNT ANGEL, OR 97362-9520
(971) 983-5214
(971) 983-5219
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6236
OR
Other
Enumeration date
09/10/2014
Last updated
01/30/2018
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