Search › Washington › 106S00000X
Jennifer Dodge, BACB499833
NPI 1659941086 · on the registry since 2021
Practice
- Address
- 42 Lost River Rd
Mazama, WA 98833 - Phone
- (404) 247-4514
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 103K00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington