Doctor Name: | JILL M PAULK |
NPI Number: | 1003977463 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 44SC01167500 |
Business Practice Address: | 884 West Park Avenue Port Townsend, WA - 98368 |
Business Phone Number: | 3603850321 |
Business Fax Number: | 3603795534 |
Mailing Address: | 242 Leprechaun Lane, PORT ANGELES |
State: | WA |
Postal Code: | 98362 |
Phone Number: | 3604574253 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 07/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC01167500 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |