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Organization

JESPY HOUSE

Active
Parent organization
JESPY HOUSE
Organization subpart
Yes

Provider details

NPI number
Legal business name
JESPY HOUSE
Authorized official
VINCENT MICHAEL VISIOLI LCSW (SENIOR MANAGER OF CLINIC)
(973) 762-6909
Entity
Organization

Contact information

Practice address
76 S ORANGE AVE STE 214, SOUTH ORANGE, NJ 07079-1923
(973) 762-6909
Mailing address
76 S ORANGE AVE STE 214, SOUTH ORANGE, NJ 07079-1923
(973) 762-6909

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/27/2025
Last updated
01/27/2025
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