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General NPI Number Information
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NPI Number | 1386439537
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Entity Type | Organization
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Legal Business Name | JESSICA K MANN LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 2208 N PICKETT ST
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City | ALEXANDRIA
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State | VA
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Zip | 22304-1064
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Country | US
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Telephone | 609-705-1183
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Fax |
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Provider Business Mailing Address
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Address Line | 435 SAINT MARKS AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2141
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Country | US
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Telephone | 609-705-1183
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | JESSICA K MANN
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Credential | LCSW LCADC
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Telephone | 609-705-1183
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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 |
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License Number State |
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