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Individual
JEFFREY PAUL CHRISTIE
Active
Individual
JEFFREY PAUL CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04931
LCSW, STATE OF TEXAS
TX
Enumeration date
02/04/2022
Last updated
02/04/2022
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