Individual
JESSICA RICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 PENNINGTON CT, PASSAIC, NJ 07055-3407
(646) 263-7771
Mailing address
5 PENNINGTON CT, PASSAIC, NJ 07055-3407
(646) 263-7771
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05649800
NJ
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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