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General NPI Number Information
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NPI Number | 1831521806
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Entity Type | Individual
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Provider Name | EMILY MANN JAMISON MSW, LICSW
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Gender | Female
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Dates
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Enumeration Date | 08/01/2013
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 3101 OLD HIGHWAY 8
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City | ROSEVILLE
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State | MN
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Zip | 55113-1072
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Country | US
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Telephone | 612-352-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 VENUS AVE
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City | SAINT PAUL
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State | MN
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Zip | 55112-2851
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Country | US
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Telephone | 704-502-8071
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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 | P008167
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License Number State | NC
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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 | 30885
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License Number State | MN
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