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Individual
JESSICA EASLEY
Active
Individual
JESSICA EASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-26932
NC
1041C0700X
Clinical Social Worker
Primary
—
NC
Other
Enumeration date
10/07/2020
Last updated
11/04/2022
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