Most Relevant Information
Provider Data
NPI Number: | 1003245242 |
Provider Name: | JES DIMAS LCSW, LICSW, LSSW |
Entity Type: | Individual |
Taxonomy Code: | 1041C0700X |
Specialty: | Social Worker |
License Number: | LW60993977 |
Most Important Dates
Enumeration Date: | 11/07/2013 |
Last Updated: | 04/26/2022 |
Provider Practice Location
494 STATE ST STE 270
SALEM
OR
973013647
Practice Location Phone/Fax
Phone: | 5035832121 |
Fax: | 8558554872 |
Provider Mailing Location
494 STATE ST STE 270
SALEM
OR
973013647
Provider Mailing Phone/Fax
Phone: | 5035832121 |
Fax: | 8558554872 |