Individual
JESSICA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1380 ROUTE 9W, MARLBORO, NY 12542-5403
(845) 236-5830
Mailing address
1380 ROUTE 9W, MARLBORO, NY 12542-5403
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
080480
NY
1041S0200X
School Social Worker
Primary
1016122161
NY
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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