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General NPI Number Information
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NPI Number | 1710595301
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Entity Type | Individual
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Provider Name | JENNA ALEXA ABRAMS LCSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 07/20/2020
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1485 BOBS HOLLOW LN
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City | DUPONT
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State | WA
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Zip | 98327-9744
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Country | US
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Telephone | 253-234-4648
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Fax |
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Provider Business Mailing Address
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Address Line | 1485 BOBS HOLLOW LN
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City | DUPONT
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State | WA
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Zip | 98327-9744
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Country | US
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Telephone | 203-253-3204
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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 | LW61482652
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License Number State | WA
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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 | C015378
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License Number State | NC
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