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Individual
JESSICA GILLILAND
Active
Individual
JESSICA GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SW-T
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.2202608-TRNE
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001908
—
OH
Enumeration date
10/24/2022
Last updated
10/02/2023
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