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Individual

JERMAINE HIBBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
935 ALLWOOD RD STE 300, CLIFTON, NJ 07012-1988
(862) 930-5700
Mailing address
25 DODD ST, NUTLEY, NJ 07110-1715
(917) 244-0885

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
02/12/2024
Last updated
02/12/2024
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