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General NPI Number Information
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NPI Number | 1639793136
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Entity Type | Individual
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Provider Name | JENNIFER FRANCK LISW-S, LICSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/01/2020
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 7691 MARY LN
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City | MENTOR
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State | OH
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Zip | 44060-5901
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Country | US
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Telephone | 440-668-4643
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Fax |
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Provider Business Mailing Address
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Address Line | 7691 MARY LN
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City | MENTOR
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State | OH
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Zip | 44060-5901
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Country | US
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Telephone |
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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 | 32922
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License Number State | MN
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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 | I.0009862-SUPV
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License Number State | OH
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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 | LC23471
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License Number State | ME
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