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Individual
MS. JESSICA MASSARO
Active
Individual
MS. JESSICA MASSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-R
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
077385
NY
1041C0700X
Clinical Social Worker
079523-1
NY
1041C0700X
Clinical Social Worker
Primary
R079523-1
NY
Other
Enumeration date
07/29/2008
Last updated
10/02/2024
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