MEDICARE: JENNIFER JILL DEAN-HILL LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LW00007724	WA

General Provider Information

NPI Number	:	1265530372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER JILL DEAN-HILL LICSW

Provider Business Mailing Address
First Line	:	1950 KEENE RD
Second Line	:	BUILDING H
City	:	RICHLAND
State	:	WA
Zip	:	99352-7751
Country	:	US
Telephone Number	:	509-366-9399
Fax Number	:	509-735-4971

Provider Business Practice Location Address
First Line	:	1950 KEENE RD
Second Line	:	BUILDING H
City	:	RICHLAND
State	:	WA
Zip	:	99352-7751
Country	:	US
Telephone Number	:	509-366-9399
Fax Number	:	509-735-4971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	01/12/2013

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