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1821454745
JENNIFER MARIE MEDINA
GEORGETOWN, TX
NPI
1821454745
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Former Name
JENNIFER MARIE JANKOVSKY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 56959)
Enumeration Date
2016-01-07
Last Update Date
2016-01-07
Business Address
-- JENNIFER MARIE MEDINA L.C.S.W.
4945 WILLIAMS DR
GEORGETOWN, TX 78633-2008
Phone number: 512-819-0718
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Mailing Address
-- JENNIFER MARIE MEDINA L.C.S.W.
119 VERNA SPUR
GEORGETOWN, TX 78628-2447
Phone number: 708-212-0188
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