Individual
JENNIFER L. SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
363 CENTRE ST STE 2, NUTLEY, NJ 07110-4706
(973) 287-9800
Mailing address
6 PENNINGTON CT, PASSAIC, NJ 07055-3408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05490600
NJ
Other
Enumeration date
03/28/2011
Last updated
09/21/2015
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