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Individual
MRS. JESSICA NORDQUIST
Active
Individual
MRS. JESSICA NORDQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
077602
NY
104100000X
Social Worker
SW126441
PA
1041S0200X
School Social Worker
1203714
NY
1041S0200X
School Social Worker
2143464
IL
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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