Individual
JESSICA R DEMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
623 AUTUMN CREST DR, WATERFORD WORKS, NJ 08089-2131
(609) 464-4289
Mailing address
623 AUTUMN CREST DR, WATERFORD WORKS, NJ 08089-2131
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07237200
NJ
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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