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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JAMES T. DEDEAUX JR., MSW

Active Sole Proprietor

JAMES T. DEDEAUX JR., MSW is a Clinical Social Worker healthcare provider located in ODESSA, Washington. NPI 1720275837 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · ODESSA, WA

Registration Details

NPI Number
1720275837
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2007 (18.850266954643 yrs)
Last Updated
Aug 17, 2023
Licenses
C4478 (MS)
LW60980572 (WA)
Sole Proprietor
Yes

Practice Information

Address
510 E AMENDE DR
ODESSA, WA, 991597003
Browse WA providers · Browse ZIP 99159
Phone
2282185324
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in ODESSA, WA

Name Credential NPI
MARIO CESAR MONTANO MSW 1376322008
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.