Individual
MARINA JACOUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
156 CLINTON PL, HACKENSACK, NJ 07601-4634
(973) 657-2860
Mailing address
156 CLINTON PL, HACKENSACK, NJ 07601-4634
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07009700
NJ
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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