Individual
JESSICA HONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
86 MAPLE ST, RUTHERFORD, NJ 07070-1719
(201) 819-4153
Mailing address
86 MAPLE ST, RUTHERFORD, NJ 07070-1719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091314
NY
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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