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Individual
JENNIFER M COLLINS
Active
Individual
JENNIFER M COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.016933
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149016933
LCSW LICENSE
IL
Enumeration date
07/18/2016
Last updated
04/10/2019
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