Individual
JANA ELLINGWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 N 36TH ST STE 427, SEATTLE, WA 98103-8827
(206) 765-8265
Mailing address
600 N 36TH ST STE 427, SEATTLE, WA 98103-8827
(206) 852-2749
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SWI.LW.61614775
WA
Other
Enumeration date
05/10/2023
Last updated
11/03/2024
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