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Individual
MS. SARAH L JACK
Active
Individual
MS. SARAH L JACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, LMSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
052883-1
NY
1041C0700X
Clinical Social Worker
Primary
44SC05883100
NJ
Other
Enumeration date
02/01/2018
Last updated
09/23/2020
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