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Individual
MRS. JODI LYNN MCQUILLEN
Active
Individual
MRS. JODI LYNN MCQUILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIMHP, LCSW, LISW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3448
NE
101YM0800X
Mental Health Counselor
Primary
753
NE
1041C0700X
Clinical Social Worker
006833
IA
1041C0700X
Clinical Social Worker
1303
NE
Other
Enumeration date
06/08/2007
Last updated
02/22/2017
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