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Individual
LENORE JAKIELA
Active
Individual
LENORE JAKIELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
099987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099987
STATE LICENSE
NY
Enumeration date
03/01/2017
Last updated
03/01/2017
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