Individual
JENNA KIMOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4 BURNETT CT, FLEMINGTON, NJ 08822-6912
(908) 216-0961
Mailing address
4 BURNETT CT, FLEMINGTON, NJ 08822-6912
(908) 216-0961
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
44SL05705100
NJ
Other
Enumeration date
07/14/2011
Last updated
07/11/2016
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