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Individual
JENNIFER ELIZABETH STRACICK
Active
Individual
JENNIFER ELIZABETH STRACICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW18291
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-2768766
IRS
FL
01
—
832768766
IRS
—
Enumeration date
06/11/2021
Last updated
05/05/2023
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