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Individual
JENNIFER K COLEY
Active
Individual
JENNIFER K COLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.025558
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.025558
LCSW LICENSE
IL
Enumeration date
05/31/2023
Last updated
07/19/2023
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