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Individual
JACQUELINE BIGGS EIDT
Active
Individual
JACQUELINE BIGGS EIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5186
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05250769
—
MS
01
—
C5186
MS BOARD OF EXAMINERS
MS
Enumeration date
03/26/2008
Last updated
09/28/2022
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