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Individual

JAXON GREY WOKAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LSWAIC

Contact information

Practice address
PO BOX 5436, LACEY, WA 98509-5436
(312) 508-3584
Mailing address
PO BOX 5436, LACEY, WA 98509-5436

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
150.117788
IL
1041C0700X
Clinical Social Worker
Primary
SWIA.SC.70011300
WA

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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