Individual
JENNA MARIE D'AGOSTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 BRYNMAR OAKS CIR, APEX, NC 27539-3014
(973) 936-8034
Mailing address
1611 BRYNMAR OAKS CIR, APEX, NC 27539-3014
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00652000
NJ
Other
Enumeration date
09/25/2021
Last updated
04/05/2025
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