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Individual
JESSICA LEPAGE-SMITH
Active
Individual
JESSICA LEPAGE-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
080234-1
NY
104100000X
Social Worker
MC12964
ME
1041C0700X
Clinical Social Worker
Primary
81555
CA
1041C0700X
Clinical Social Worker
LC14012
ME
Other
Enumeration date
01/21/2010
Last updated
05/04/2021
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