Jeffs-Grad, Debra J

Jeffs-Grad, Debra J is an sole proprietor health care provider with primary practice located at 555 Dayton St Ste D , Edmonds WA 98020-3476. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jeffs-Grad, Debra J can be contacted via phone (425) 778-8775.

Contact Information

Primary practice address
555 Dayton St Ste D Edmonds WA 98020-3476
Fax: (425) 771-7266
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00005404 Washington

Profile Details

NPI number 1215087408
LBN Legal business name Jeffs-Grad, Debra J
Credentials R.N., M.S.W.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215087408 NPPES
Washington Other LW00005404 CERTIFIED SOCIAL WORKER

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