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General NPI Number Information
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NPI Number | 1063797074
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Entity Type | Individual
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Provider Name | JILLANA VESSEL-THOMPSON LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/21/2011
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Last Update Date | 12/27/2023
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Provider Practice Location Address
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Address Line | 2439 MANHATTAN BLVD STE 503A
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City | HARVEY
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State | LA
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Zip | 70058-5328
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Country | US
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Telephone | 504-434-0017
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Fax | 504-341-1442
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Provider Business Mailing Address
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Address Line | 2439 MANHATTAN BLVD STE 503A
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City | HARVEY
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State | LA
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Zip | 70058-5328
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Country | US
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Telephone | 504-434-0017
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Fax | 504-341-1442
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4808
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 4808
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License Number State | LA
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