Individual
JESSICA NICOLE MOSQUEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
1630 VELUM CT, BEAUMONT, CA 92223-3210
(785) 249-6837
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2015040913
MO
104100000X
Social Worker
9552
KS
1041C0700X
Clinical Social Worker
Primary
132399
CA
Other
Enumeration date
07/03/2018
Last updated
11/14/2025
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