Provider Information for 1538425491
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Ms. JESSICA GERSON LCSW, LICSW
Sex: Female
NPI: 1538425491
Last Updated: 2024-01-09
Certification Date: 2024-01-09
Certification Date: 2024-01-09
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1538425491 | ||||||||||||
| Enumeration Date | 2012-04-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 28035 RPO WESTSHORE VICTORIA, BRITISH COLUMBIA V9B 6K8 Canada Phone: | Fax: | ||||||||||||
| Primary Practice Address | 5001 WESTBANK EXPY MARRERO, LA 70072-2954 United States Phone: 555-555-5555 | Fax: | ||||||||||||
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