Individual
JACQUELINE CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
42 CRAIG ST, HAZLET, NJ 07730-1625
(732) 977-9034
Mailing address
1000 ROUTE 34 STE 205, MATAWAN, NJ 07747-3477
(908) 546-1520
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05681200
NJ
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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