Provider Information for 1457007320
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JENNIFER SEWARD LCSW
Sex: Female
NPI: 1457007320
Last Updated: 2022-05-16
Certification Date: 2022-05-16
Certification Date: 2022-05-16
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1457007320 | ||||||||
| Enumeration Date | 2022-03-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 1945 17TH ST APT C SARASOTA, FL 34234-7520 United States Phone: 941-210-0384 | Fax: | ||||||||
| Primary Practice Address | 1945 17TH ST APT C SARASOTA, FL 34234-7520 United States Phone: 941-210-0384 | Fax: | ||||||||
| Secondary Practice Address(es) | 2916 W SCHOOL ST | ||||||||
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