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Individual
JESSICA LEIGH TROUTMAN
Active
Individual
JESSICA LEIGH TROUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWA
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
P017096
NC
1041C0700X
Clinical Social Worker
Primary
P017096
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P017096
LICENSE
NC
Enumeration date
11/15/2021
Last updated
02/16/2022
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