Individual
CHAYA DEVORIE FASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
34 HICKORY HILL RD, JACKSON, NJ 08527-1748
(917) 613-0256
Mailing address
34 HICKORY HILL RD, JACKSON, NJ 08527-1748
(917) 613-0256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06022300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/21/2014
Last updated
03/31/2025
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