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Individual
JAKIRA WILLIS
Active
Individual
JAKIRA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PPSC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
90463
CA
1041C0700X
Clinical Social Worker
Primary
117174
CA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
10/22/2019
Last updated
08/27/2023
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