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Individual
JESSICA O'NEILL
Active
Individual
JESSICA O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
092925
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
092925
LCSW
NY
05
—
092925
—
NY
Enumeration date
05/24/2019
Last updated
06/10/2022
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