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Individual
JESSICA FEDEROWICZ
Active
Individual
JESSICA FEDEROWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MHC-411
HI
103K00000X
Behavior Analyst
—
—
103TC0700X
Clinical Psychologist
Primary
PSY-1969
HI
Other
Enumeration date
06/17/2015
Last updated
01/31/2025
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