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1134358658
JESSICA LEE DERISE
REDWOOD CITY, CA
NPI
1134358658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 18803)
Enumeration Date
2009-07-06
Last Update Date
2024-02-15
Business Address
JESSICA LEE DERISE LCSW-C
251 JACKSON AVE
REDWOOD CITY, CA 94061-1630
Phone number: 650-368-2383
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Mailing Address
JESSICA LEE DERISE LCSW-C
1020 SAINT PAUL ST
BALTIMORE, MD 21202-2606
Phone number:
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