Most Relevant Information
Provider Data
| NPI Number: | 1003266206 |
| Provider Name: | NICHOLE L JARDINE LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LW61179889 |
Most Important Dates
| Enumeration Date: | 06/17/2016 |
| Last Updated: | 08/19/2022 |
Provider Practice Location
5991 BELL ST SE
TUMWATER
WA
985015355
Practice Location Phone/Fax
| Phone: | 4352133583 |
| Fax: |
Provider Mailing Location
5991 BELL ST SE
TUMWATER
WA
985015355
Provider Mailing Phone/Fax
| Phone: | 4352133583 |
| Fax: |