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Individual
JESSICA B MANESS
Active
Individual
JESSICA B MANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
70687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346538030
BLUE CROSS/BLUE SHIELD OF ND
ND
05
—
19324
—
ND
05
—
74165
—
ND
Enumeration date
07/14/2011
Last updated
07/06/2024
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