Individual
JESSICA HEFELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
176 CLARKSON AVE APT 1A, BROOKLYN, NY 11226-2028
(347) 512-9838
Mailing address
176 CLARKSON AVE, 1A, BROOKLYN, NY 11226-2081
(347) 512-9838
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
405300000X
Prevention Professional
—
NY
Other
Enumeration date
02/08/2017
Last updated
07/21/2022
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