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Individual
JESSICA S CLARK
Active
Individual
JESSICA S CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05969500
NJ
Other
Enumeration date
09/09/2011
Last updated
04/22/2025
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