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1508685025
MADELYN BLACK JENSEN
SPOKANE, WA
NPI
1508685025
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC61563987)
Enumeration Date
2024-10-10
Last Update Date
2024-10-10
Business Address
MADELYN BLACK JENSEN LICSWA
400 S JEFFERSON ST
SPOKANE, WA 99204-3121
Phone number: 509-768-6852
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Mailing Address
MADELYN BLACK JENSEN LICSWA
3115 S HOWARD ST
SPOKANE, WA 99203-1749
Phone number: 509-999-0617
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