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Individual
MRS. JESSICA MANEY
Active
Individual
MRS. JESSICA MANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
72 097475
NY
104100000X
Social Worker
72 P99991
NY
Other
Enumeration date
03/17/2016
Last updated
04/15/2016
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