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Individual
KENNYANNA JEFFERSON
Active
Individual
KENNYANNA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
102016
CA
104100000X
Social Worker
ASW102016
CA
1041C0700X
Clinical Social Worker
Primary
127688
CA
Other
Enumeration date
05/20/2020
Last updated
12/27/2024
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