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1871051243
JORDYN HENGEVELD
LACEY, WA
NPI
1871051243
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: CA 108357)
Enumeration Date
2019-03-05
Last Update Date
2023-02-05
Business Address
JORDYN HENGEVELD
5019 BOARDWALK ST SE
LACEY, WA 98503-9018
Phone number: 818-624-4422
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Mailing Address
JORDYN HENGEVELD
5019 BOARDWALK ST SE
LACEY, WA 98503-9018
Phone number: 818-624-4422
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