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Individual
JESSICA MEYERS
Active
Individual
JESSICA MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5059
CT
1041C0700X
Clinical Social Worker
Primary
11207811-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
UT
Enumeration date
07/03/2018
Last updated
11/18/2025
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