Individual
JESSICA L COFONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
9225 KENNEDY BLVD, SUITE A, NORTH BERGEN, NJ 07047-5361
(201) 869-2707
Mailing address
279 BROADWAY, SUITE 301, LONG BRANCH, NJ 07740-6940
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05589200
NJ
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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