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Individual
JENNIFER DAWN KINCAID
Active
Individual
JENNIFER DAWN KINCAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S40919
TX
171M00000X
Case Manager/Care Coordinator
40919
TX
Other
Enumeration date
03/06/2009
Last updated
09/10/2014
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