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1225385156
JESSICA JAZZ BALLETTA
RALEIGH, NC
NPI
1225385156
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NC C012928)
Enumeration Date
2012-08-09
Last Update Date
2020-05-06
Business Address
JESSICA JAZZ BALLETTA LCSW
3937 WESTERN BLVD
RALEIGH, NC 27606-1936
Phone number: 919-821-0790
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Mailing Address
JESSICA JAZZ BALLETTA LCSW
5304 MERIDIAN MARKET DR
FUQUAY VARINA, NC 27526-5760
Phone number: 718-813-4649
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