Jacqueline Anna Lydston
Jacqueline Anna Lydston is a Clinical Social Worker in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2022
Practice location Address checks out
400 E Evergreen Blvd Ste 213Vancouver, WA 98660-3264
Phone: (360) 977-9679
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence SC61345238 (WA) |
|---|
Record details
| NPI number | 1346962974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 12, 2022 |
| Last updated in NPPES | September 12, 2022 |
| Certification date | September 12, 2022 |
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