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Individual
JESSICA HARRISON
Active
Individual
JESSICA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW02171
RI
1041C0700X
Clinical Social Worker
12594
CT
1041C0700X
Clinical Social Worker
Primary
ISW03237
RI
Other
Enumeration date
03/11/2016
Last updated
11/15/2022
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