James T. Dedeaux JR., MSW

NPI #1720275837 in Odessa, Washington

Provider Information

NPI Number: 1720275837
Entity Type: Individual
Name: James T. Dedeaux JR., MSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Credential: MSW
Enumeration Date: Oct 2, 2007
Last Updated: Aug 17, 2023

Practice Location

Address: 510 E AMENDE DR
City: Odessa
State: Washington
ZIP Code: 99159-7003
Phone: (228) 218-5324

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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