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Individual
JUDETH F WESLEY
Active
Individual
JUDETH F WESLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCSW, LCADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00122300
NJ
1041C0700X
Clinical Social Worker
Primary
44SC05402500
NJ
Other
Enumeration date
01/31/2015
Last updated
01/31/2015
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