Jenny Gardon, Licsw, Inc. | |
753 N 35th St Office 304 Seattle WA 98103-8870 | |
(206) 634-1642 | |
Not Available |
Full Name | Jenny Gardon, Licsw, Inc. |
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Speciality | Clinic/center - Adult Mental Health |
Location | 753 N 35th St, Seattle, Washington |
Authorized Official Name and Position | Jenny Gardon (PRESIDENT) |
Authorized Official Contact | 2066341642 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jenny Gardon, Licsw, Inc. 753 N 35th St Office 304 Seattle WA 98103-8870 Ph: (206) 634-1642 | Jenny Gardon, Licsw, Inc. 753 N 35th St Office 304 Seattle WA 98103-8870 Ph: (206) 634-1642 |
NPI Number | 1871733691 |
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Provider Enumeration Date | 03/06/2009 |
Last Update Date | 03/06/2009 |
Identifier | Type | State | Issuer |
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1871733691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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