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Individual
JACKLYN BYSTRITSKY
Active
Individual
JACKLYN BYSTRITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
083806-1
NY
1041C0700X
Clinical Social Worker
Primary
084563
NY
1041C0700X
Clinical Social Worker
44SC06239600
NJ
1041C0700X
Clinical Social Worker
LICSW124471
MA
Other
Enumeration date
07/29/2011
Last updated
07/05/2023
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