Individual
JESSICA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 OCEAN AVE, UNION BEACH, NJ 07735-3311
(732) 796-8460
Mailing address
1111 OCEAN AVE, UNION BEACH, NJ 07735-3311
(732) 796-8460
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC06322100
NJ
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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