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Individual
MRS. JESSICA LM MATTHEWS
Active
Individual
MRS. JESSICA LM MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
096262
NY
1041C0700X
Clinical Social Worker
109269-01
NY
Other
Enumeration date
06/05/2020
Last updated
10/05/2023
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