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Individual
JEAN TRUESDALE
Active
Individual
JEAN TRUESDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWSA
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
P014441
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P014441
SOCIAL WORK
NC
Enumeration date
04/28/2021
Last updated
04/28/2021
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