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Individual
MS. JILLIAN ELYSE BERRIDGE
Active
Individual
MS. JILLIAN ELYSE BERRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113441
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/25/2019
Last updated
07/21/2021
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