Provider Information for 1417390220
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Ms. JENNIFER DENISE JONES LCSW
Sex: Female
NPI: 1417390220
Last Updated: 2022-02-14
Certification Date: 2022-02-14
Certification Date: 2022-02-14
Details
| Name | Value | ||||||||
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| NPI | 1417390220 | ||||||||
| Enumeration Date | 2013-04-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 950 MERIDIAN AVE APT 63 SAN JOSE, CA 95126-4045 United States Phone: 408-483-6950 | Fax: | ||||||||
| Primary Practice Address | 950 MERIDIAN AVE APT 63 SAN JOSE, CA 95126-4045 United States Phone: 408-483-6950 | Fax: | ||||||||
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