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Individual

JESSICA ANNE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSW, LSWAIC

Contact information

Practice address
12112 E ALKI AVE APT 11, SPOKANE VALLEY, WA 99206-5189
(509) 714-2143
Mailing address
12112 E ALKI AVE APT 11, SPOKANE VALLEY, WA 99206-5189
(509) 714-2143

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
61131132
WA
106S00000X
Behavior Technician

Other

Enumeration date
01/31/2020
Last updated
12/15/2020
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