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Individual
JESSICA ALLEN
Active
Individual
JESSICA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, ACT
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
084668
NY
1041C0700X
Clinical Social Worker
089.0134870TELE
VT
1041C0700X
Clinical Social Worker
44SC06045100
NJ
1041C0700X
Clinical Social Worker
TPSW1132
FL
Other
Enumeration date
09/15/2016
Last updated
11/08/2022
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