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Individual

JESSICA HOMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
20 N ADA ST, FALLON, NV 89406-2906
(775) 391-6088
Mailing address
PO BOX 2104, FALLON, NV 89407-2104
(775) 391-6088

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9919-C
NV
1041C0700X
Clinical Social Worker
IC-1423
NV

Other

Enumeration date
02/10/2022
Last updated
07/05/2022
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