Individual
JASON O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
39 AVENUE AT THE CMN, SUITE 106, SHREWSBURY, NJ 07702-4807
(732) 943-1326
(732) 865-7190
Mailing address
39 AVENUE AT THE CMN, SUITE 106, SHREWSBURY, NJ 07702-4807
(732) 943-1326
(732) 865-7190
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
28127
CA
1041C0700X
Clinical Social Worker
Primary
44SC05541800
NJ
Other
Enumeration date
06/11/2013
Last updated
10/18/2015
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