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General NPI Number Information
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NPI Number | 1073496808
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Entity Type | Individual
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Provider Name | JOSSELYN ANDREA GARCIA-JIMENEZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 29532 SOUTHFIELD RD STE 115
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2023
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Country | US
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Telephone | 872-333-9658
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Fax |
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Provider Business Mailing Address
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Address Line | 10808 S AVENUE E
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City | CHICAGO
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State | IL
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Zip | 60617-6748
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Country | US
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Telephone | 404-630-4332
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Fax |
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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 | 149.029446
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License Number State | IL
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