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Individual
JESSA SOPHIE BIDWELL
Active
Individual
JESSA SOPHIE BIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CGC
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
1373-61
WI
170300000X
Genetic Counselor (M.S.)
Primary
1544
MN
170300000X
Genetic Counselor (M.S.)
GC689
FL
Other
Enumeration date
06/24/2022
Last updated
11/27/2023
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