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Individual

RACHAEL ELIZABETH JORGENSEN

Active
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Individual

RACHAEL ELIZABETH JORGENSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0007850
IA
1041C0700X
Clinical Social Worker
Primary
007850
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074435
IA
Enumeration date
06/27/2016
Last updated
04/18/2025
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