Individual
MS. JESSICA V MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 2ND AVE, APT. 4E, BELMAR, NJ 07719-2070
(908) 770-2843
Mailing address
205 2ND AVE, APT. 4E, BELMAR, NJ 07719-2070
(908) 770-2843
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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