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Individual
JESSYCA RENAE COLEMAN
Active
Individual
JESSYCA RENAE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5225G
AL
1041C0700X
Clinical Social Worker
134935
IA
1041C0700X
Clinical Social Worker
27440
FL
1041C0700X
Clinical Social Worker
Primary
5224C
AL
Other
Enumeration date
04/08/2022
Last updated
10/06/2026
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