Provider Information for 1750046371
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JESSICA BARRINER LCSW
Other Names:Former Name:JESSICA HARDISONSex: Female
NPI: 1750046371
Last Updated: 2021-11-08
Certification Date: 2021-11-08
Certification Date: 2021-11-08
Details
| Name | Value | ||||||||
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| NPI | 1750046371 | ||||||||
| Enumeration Date | 2021-11-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 7465 WESLEY CHAPEL, FL 33545-0108 United States Phone: 305-793-2068 | Fax: | ||||||||
| Primary Practice Address | 4982 AVALON PARK BLVD WESLEY CHAPEL, FL 33545-3248 United States Phone: 407-587-5560 | Fax: | ||||||||
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