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General NPI Number Information
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NPI Number | 1750923330
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Entity Type | Individual
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Provider Name | JESSICA LYNSKEY LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 8848 SEPTEMBER WAY
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City | LINCOLN
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State | DE
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Zip | 19960-3267
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Country | US
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Telephone | 302-491-6946
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Fax |
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Provider Business Mailing Address
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Address Line | 22268 PHILLIPS HILL RD
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City | MILLSBORO
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State | DE
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Zip | 19966-2867
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Country | US
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Telephone | 203-520-6330
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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 | Q1-0001730
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License Number State | DE
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