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General NPI Number Information
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NPI Number | 1770210213
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Entity Type | Individual
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Provider Name | JERRICA GARNER LCSWA
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Gender | Female
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 09/14/2025
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Provider Practice Location Address
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Address Line | 1400 OLD MILL CIR STE A
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City | WINSTON SALEM
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State | NC
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Zip | 27103-2977
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Country | US
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Telephone | 336-893-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 316 CENTURY BLVD
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City | KERNERSVILLE
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State | NC
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Zip | 27284-3309
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Country | US
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Telephone | 910-336-3726
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P017888
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License Number State | NC
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