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Individual
JAMIE JOERRES
Active
Individual
JAMIE JOERRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW10358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004034300
—
FL
01
—
SW10358
FL DOH
FL
Enumeration date
06/20/2011
Last updated
05/02/2012
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