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General NPI Number Information
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NPI Number | 1083274708
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Entity Type | Individual
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Provider Name | DELSONDRA JONELL ALLEN LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/14/2019
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Last Update Date | 12/20/2025
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Provider Practice Location Address
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Address Line | 7643 GATE PKWY STE 104-1712
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City | JACKSONVILLE
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State | FL
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Zip | 32256-3092
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Country | US
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Telephone | 843-476-0175
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 WILSON BLVD APT 2204
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City | JACKSONVILLE
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State | FL
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Zip | 32210-3690
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Country | US
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Telephone | 843-476-0175
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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 | SW16376
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C018104
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW009579
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14834
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License Number State | SC
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