Individual
JESSICA CHILCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-33100
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-38409
ID
1041C0700X
Clinical Social Worker
LCSW99966
CA
Other
Enumeration date
01/10/2014
Last updated
04/18/2024
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