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Individual
MS. JESSICA E SPISSINGER
Active
Individual
MS. JESSICA E SPISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA, LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
117721
MA
1041C0700X
Clinical Social Worker
149012972
IL
1041C0700X
Clinical Social Worker
23936
CA
363A00000X
Physician Assistant
Primary
PA4763
MA
Other
Enumeration date
08/29/2008
Last updated
10/25/2013
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