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Individual
JONATHAN NUSSBAUM
Active
Individual
JONATHAN NUSSBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
44SL05377900
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05374500
NJ
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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