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Individual

JAMIE PONTICELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2358 US HIGHWAY 9, HOWELL, NJ 07731-4017
(732) 987-9770
Mailing address
2358 US HIGHWAY 9, HOWELL, NJ 07731-4017

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06871900
NJ
106S00000X
Behavior Technician

Other

Enumeration date
03/30/2020
Last updated
02/01/2024
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