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Individual

MR. JEFFREY STANLEY SOFFER

Active
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Individual

MR. JEFFREY STANLEY SOFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SC 08388
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
221726712
GROUP PRACTICE TAX ID
NJ
01
P536670
OXFORD INS PROVIDER #
NJ
01
R 014757
LCSW NEW YORK LICENSE
NY
01
SC 08388
NJ LICENSE
NJ
Enumeration date
01/02/2007
Last updated
12/17/2023
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