Most Relevant Information
Provider Data
| NPI Number: | 1003457201 |
| Provider Name: | JENELEE SUE FROSS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | SC61004013 |
Most Important Dates
| Enumeration Date: | 09/30/2019 |
| Last Updated: | 09/30/2019 |
Provider Practice Location
200 N BERNARD ST
SPOKANE
WA
992010206
Practice Location Phone/Fax
| Phone: | 5093547946 |
| Fax: | 5098351281 |
Provider Mailing Location
200 N BERNARD ST
SPOKANE
WA
992010206
Provider Mailing Phone/Fax
| Phone: | 5093547946 |
| Fax: | 5098351281 |