Individual
JENNIFER MAE OWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
175 W B ST STE H, SPRINGFIELD, OR 97477-4575
(541) 423-2633
Mailing address
175 W B ST STE H, SPRINGFIELD, OR 97477-4575
(541) 423-2633
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14339
OR
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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