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General NPI Number Information
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NPI Number | 1992840656
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Entity Type | Organization
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Legal Business Name | JERE' L. SLINGERLAND, LCSW.INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/28/2023
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Provider Practice Location Address
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Address Line | 536 BUTTE AVE STE 202
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City | PACIFIC
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State | WA
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Zip | 98047-1413
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Country | US
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Telephone | 253-638-8730
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Fax |
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Provider Business Mailing Address
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Address Line | 536 BUTTE AVE
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City | PACIFIC
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State | WA
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Zip | 98047-1413
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Country | US
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Telephone | 253-638-8730
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Fax | 253-735-2584
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Authorized Official
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Title or Position | OWNER
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Name | MS. JERE' L. SLINGERLAND
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Credential | LICSW
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Telephone | 253-638-8730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW00005576
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License Number State | WA
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