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Individual
STEPHANIE JENSEN
Active
Individual
STEPHANIE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
20161
AZ
101YM0800X
Mental Health Counselor
Primary
24283
MN
1041C0700X
Clinical Social Worker
24283
MN
Other
Enumeration date
03/31/2018
Last updated
03/13/2023
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