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Individual
JESSICA LAWRENCE
Active
Individual
JESSICA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
85949
CA
1041C0700X
Clinical Social Worker
Primary
115792
CA
Other
Enumeration date
03/12/2015
Last updated
07/23/2024
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