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Individual

JENNA RAE MCCOOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
654 E JERSEY ST, ELIZABETH, NJ 07206-1261
(908) 994-7271
Mailing address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC05677300
NJ

Other

Enumeration date
11/09/2017
Last updated
11/09/2017
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