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Individual
MS. JENNIFER J ENEVOLDSEN
Active
Individual
MS. JENNIFER J ENEVOLDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW, LCSW-P
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
9534
SC
1041C0700X
Clinical Social Worker
Primary
P006929
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457633
—
SC
Enumeration date
10/04/2010
Last updated
01/05/2012
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