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Individual
JENNIFER L MITOLO
Active
Individual
JENNIFER L MITOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
35SI00448400
NJ
103TC0700X
Clinical Psychologist
Primary
PSY25678
CA
Other
Enumeration date
03/27/2008
Last updated
09/16/2024
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