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General NPI Number Information
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NPI Number | 1881150456
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Entity Type | Individual
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Provider Name | JESSICA ELAINE STRAITS MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 02/19/2019
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 2148 EAGLE PASS STE H
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City | WOOSTER
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State | OH
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Zip | 44691-5357
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Country | US
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Telephone | 330-345-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 2685 ARMSTRONG RD
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City | WOOSTER
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State | OH
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Zip | 44691-9041
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Country | US
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Telephone | 330-345-7949
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Fax | 330-345-4218
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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 | I.2406013
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 51803093
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License Number State | OH
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