Individual
BETH JASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
68 ESSEX ST, MILLBURN, NJ 07041
(908) 484-4204
Mailing address
20 STAFFORD DR, MADISON, NJ 07940-2013
(908) 484-4204
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04976500
NJ
Other
Enumeration date
11/02/2006
Last updated
08/19/2018
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